Salmon Creek Vision Centre, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SALMON CREEK VISION CENTRE, PLLC

Practice address

14201 NE 20TH Ave Ste A102
Vancouver, WA 98686-6411

Phone

(360) 574-6030

Fax

(360) 574-4116

NPI assigned

Sep 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Janna D Scofield, O.D.NPI 1982619391

Title

Business Partner/Owner, Optometrist

Phone

(360) 574-6030

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 4

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

• Janna Deann Scofield, O.D.

  • Optometrist
  • Vancouver, WA
  • NPI 1982619391
  Medicare reassignment Care Compare group Authorized official
• Benjamin Lee Waldo, O.D.

  • Optometrist
  • Vancouver, WA
  • NPI 1194780361
  Medicare reassignment Care Compare group NPD
• Robert E Miller, OD

  • Optometrist
  • Vancouver, WA
  • NPI 1871666305
  NPD (past)
• Jeffrey David Shrock, O.D.

  • Optometrist
  • Vancouver, WA
  • NPI 1255439162
  NPD (past)

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1164670790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 NE 20TH AVE STE A102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866411",
            "telephone_number": "360-574-6030",
            "fax_number": "360-574-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 NE 20TH AVE STE A102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986866411",
            "telephone_number": "360-574-6030",
            "fax_number": "360-574-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALMON CREEK VISION CENTRE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "SCOFIELD",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS PARTNER/OWNER, OPTOMETRIST",
        "authorized_official_telephone_number": "360-574-6030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G8876163",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salmon Creek Oral Surgery & Periodontics
• Salmon Creek Physical Therapy P S
• Salmon Creek Plastic Surgery PC
• Salmon Creek Plastic Surgery PC
• Salmon Creek SNF Operations LLC
• Peggy L Salois, RC
• Barbara A Salomon, CDPT
• Sarah Salomone
• Arwa A Salti, RN
• Aitaoto Salu

• Optometrist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.