NPIMap

Organization Active NPI

Vision Health PLLC

Doing business as Vision Health

  • Optometrist
  • Tumwater, WA
National Provider Identifier
1184781353
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1530 TX Issued in WA
Legal business name
VISION HEALTH PLLC
Doing business as
Vision Health
Practice address
5164 Capitol Blvd SE
Tumwater, WA 98501-4442
Phone
(360) 357-3410
Fax
(360) 357-5652
NPI assigned
Jan 3, 2007
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Dr. Richard Whitney Baxter, ODNPI 1174570451
Title
Optometrist
Phone
(360) 357-3410

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
Optometrist 152W00000X 1530 TX WA Primary

Addresses

Primary practice location

5164 Capitol Blvd SE
Tumwater, WA 98501-4442

Mailing address

5164 Capitol Blvd SE
Tumwater, WA 98501-4442
Phone (360) 357-3410

Other identifiers 1

IdentifierTypeStateIssuer
2098002MedicaidWA

Other names 1

  • Vision Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070621000011 WA Part B Supplier - Clinic/Group Practice 3072612779 Receives reassigned benefits from 9 practitioners
Practice locations: Tumwater, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2050824Vision Health PLLC5164 Capitol Blvd SE, Tumwater, WA 98501Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

210 Pinehurst Dr SW
Tumwater, WA 98501
Phone (360) 357-3410

5164 Capitol Blvd SE
Tumwater, WA 98501
Phone (360) 357-3410

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1184781353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5164 CAPITOL BLVD SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014442",
            "telephone_number": "360-357-3410",
            "fax_number": "360-357-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5164 CAPITOL BLVD SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985014442",
            "telephone_number": "360-357-3410",
            "fax_number": "360-357-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WHITNEY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "360-357-3410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1530 TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098002",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.