Organization Active NPI

Eye Associates Surgery Center Inc

Doing business as Cascadia Surgical

  • Ambulatory Surgical Clinic/Center
  • Mount Vernon, WA
National Provider Identifier
1225252257
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
EYE ASSOCIATES SURGERY CENTER INC
Doing business as
Cascadia Surgical
Eye Associates Surgery Center
Practice address
2100 Little Mountain LN Ste B
Mount Vernon, WA 98274-8752
Phone
(360) 424-5338
Fax
(360) 848-7733
NPI assigned
Apr 12, 2007
Last updated
Jul 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Mrs. Sheri Saldivar
Title
Administrator
Phone
(360) 424-5338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

2100 Little Mountain LN Ste B
Mount Vernon, WA 98274-8752

Mailing address

2100 Little Mountain LN Ste B
Mount Vernon, WA 98274-8752
Phone (360) 424-5338

Other names 2

  • Cascadia Surgical Doing business as
  • Eye Associates Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110310000979 WA Part B Supplier - Ambulatory Surgical Center 6002098126 Practice locations: Mount Vernon, WA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Eye Associates Surgery Center IncCCN 50C0001279
Medicare certification status
ActiveFrom the Provider of Services file

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
50D2229869Cascadia Surgical2100 Little Mountain LN Ste B, Mount Vernon, WA 98274Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

2100 Little Mountain Ln
Ste B
Mount Vernon, WA 98274
Phone (360) 416-6735

Interoperability endpoints

  • FHIR API: https://b77485b4-c1a7-4e91-916d-278628085702.gastro.prod.fhir.ema-api.com/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 4

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1225252257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LITTLE MOUNTAIN LN STE B",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-424-5338",
            "fax_number": "360-848-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LITTLE MOUNTAIN LN STE B",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-424-5338",
            "fax_number": "360-848-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "SALDIVAR",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-424-5338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascadia Surgical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Associates Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.