Organization Active NPI

The Eye Clinic of Kittitas County

Doing business as Family Eye Clinic

  • Optometrist
  • Ellensburg, WA
National Provider Identifier
1164615118
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003913 Issued in WA
Legal business name
THE EYE CLINIC OF KITTITAS COUNTY
Doing business as
Family Eye Clinic
Practice address
301 E 2ND Ave
Ellensburg, WA 98926-3315
Phone
(509) 925-9873
Fax
(509) 962-1639
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Sarah K. Storrs, O.D.NPI 1841204260
Title
Optometric Physician/Owner
Phone
(509) 925-9873

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 OD00003913 WA Primary

Addresses

Primary practice location

301 E 2ND Ave
Ellensburg, WA 98926-3315

Mailing address

PO Box 688
Ellensburg, WA 98926-0688
Phone (509) 925-9873

Other names 1

  • Family Eye Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070823000999 WA Part B Supplier - Clinic/Group Practice 7810089679 Receives reassigned benefits from 2 practitioners
Practice locations: Cle Elum, WA; Ellensburg, WA

National Provider Directory

National Provider Directory

Locations

807 W Davis St
Ste 102A
Cle Elum, WA 98922
Phone (509) 674-4313

112 E 2nd St
Cle Elum, WA 98922
Phone (509) 674-4313

207 N Harris Ave
Cle Elum, WA 98922
Phone (509) 674-4313

301 E 2nd Ave
Ellensburg, WA 98926
Phone (509) 925-9873

Interoperability endpoints

  • Direct secure messaging: skstorrs@vsfamilyeyeclinic.eyefinity-direct.com

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": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1164615118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989260688",
            "telephone_number": "509-925-9873",
            "fax_number": "509-962-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 2ND AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263315",
            "telephone_number": "509-925-9873",
            "fax_number": "509-962-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE CLINIC OF KITTITAS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "STORRS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "509-925-9873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.