NPIMap

Organization Active NPI

Invision Eye Care PLLC

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1134494198
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60276428 Issued in WA
Legal business name
INVISION EYE CARE PLLC
Practice address
19171 SE Mill Plain Blvd
Ste 101
Vancouver, WA 98683
Phone
(360) 254-1026
Fax
(360) 256-2318
NPI assigned
Mar 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tara Lynn Pinske Backus, ODNPI 1821096116
Title
Optometrist
Phone
(503) 516-0903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 60276428 WA Primary

Addresses

Primary practice location

19171 SE Mill Plain Blvd
Ste 101
Vancouver, WA 98683

Mailing address

19171 SE Mill Plain Blvd
Ste 101
Vancouver, WA 98683
Phone (360) 254-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120522001257 WA Part B Supplier - Clinic/Group Practice 2567625957 Receives reassigned benefits from 3 practitioners
Practice locations: Camas, WA

National Provider Directory

National Provider Directory

Locations

19171 SE Mill Plain Blvd
Ste 101
Vancouver, WA 98683
Phone (360) 254-1026

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1134494198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19171 SE MILL PLAIN BLVD",
            "address_2": "STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "360-254-1026",
            "fax_number": "360-256-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19171 SE MILL PLAIN BLVD",
            "address_2": "STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "360-254-1026",
            "fax_number": "360-256-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVISION EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "PINSKE BACKUS",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "503-516-0903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60276428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.