Vision Source Walla Walla PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION SOURCE WALLA WALLA PLLC

Practice address

614 E Alder St Ste 1
Walla Walla, WA 99362-2073

Phone

(509) 527-3937

Fax

(509) 529-4750

NPI assigned

Jul 10, 2024

Organization subpart

No

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

Authorized official

Name

Daniel Wiessner, ODNPI 1770860165

Title

Owner

Phone

(509) 527-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 6

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

• Daniel James Wiessner, O.D.

  • Optometrist
  • Walla Walla, WA
  • NPI 1770860165
  Medicare reassignment Care Compare group Authorized official
• Judy Quach, OD

  • Optometrist
  • Walla Walla, WA
  • NPI 1598301616
  Medicare reassignment Care Compare group
• Harry Walter Wiessner, O.D.

  • Optometrist
  • Walla Walla, WA
  • NPI 1386637668
  Medicare reassignment Care Compare group
• Rosanne F Schneller, O.D.

  • Optometrist
  • Walla Walla, WA
  • NPI 1578642500
  NPD
• Steven J. Davis, O.D.

  • Optometrist
  • Walla Walla, WA
  • NPI 1558354704
  NPD (past)
• Eric John Wiessner, OD

  • Optometrist
  • Denver, CO
  • NPI 1194245043
  NPD (past)

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1245077080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E ALDER ST STE 1",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622073",
            "telephone_number": "509-527-3937",
            "fax_number": "509-529-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E ALDER ST STE 1",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622073",
            "telephone_number": "509-527-3937",
            "fax_number": "509-529-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE WALLA WALLA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "WIESSNER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-527-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Viavant, MD
• Vibrance Bodywork Massage
• Mariana Villanueva Lenero, MD
• Christina L Vinti, LPN
• Vision Source Walla Walla
• Rhonda Rae Vocht, RN
• Shirley Robin Vonhaven, DO
• Minh N Vu, L.AC.
• Luke William Waggoner
• Janalee Wagner, DSW, MSW, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.