Active NPI
Bruce E Wietharn, M.D.
- Ophthalmology Physician
- Arlington, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD00043436
- Practice address
- 903 Medical Center Dr
Arlington, WA 98223-1697 - Phone
- (360) 435-8595
- Fax
- (360) 435-5233
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD00043436 | WA | Primary |
Addresses
Primary practice location
903 Medical Center Dr
Arlington, WA 98223-1697
Mailing address
903 Medical Center Dr
Arlington, WA 98223-1697
Phone (360) 435-8595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8389991 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Tulane University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
903 Medical Ctr Dr
Suite 100
Arlington, WA 98223-2600
Phone (360) 435-8595
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.74 of 100
- Quality
- 88.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 126 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00043436 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sight Partners Physicians, P.C. | Ophthalmology | Current | Accepting new patients |
| Sight Partners Physicians PC | Current | Accepting new patients | |
| Sight Partners Physicians, P.C. | Ophthalmology | Past | Accepting new patients |
| Sight Partners Physicians, P.C. | Ophthalmology | Past | Accepting new patients |
| Sight Partners Physicians, P.C. | Ophthalmology | Past | Accepting new patients |
| Sight Partners Physicians, P.C. | Ophthalmology | Past | Accepting new patients |
| Jules Stein Eye Institute Medical Group | Past | Accepting new patients |
Locations
16404 Smokey Point Blvd
Ste 303
Arlington, WA 98223
Phone (360) 658-6224
903 Medical Center Dr
Ste 100
Arlington, WA 98223
Phone (360) 435-8595
2075 Barkley Blvd
Ste 205
Bellingham, WA 98226
Phone (360) 676-6233
21906 76th Ave W
Edmonds, WA 98026
Phone (425) 577-4262
1306 Roosevelt Ave
Mount Vernon, WA 98273
Phone (360) 428-2020
1412 SW 43rd St
Ste 310
Renton, WA 98057
Phone (425) 235-1200
332 NE Northgate Way
Seattle, WA 98125
795 N 5th Ave
Sequim, WA 98382
Phone (360) 658-6224
16010 E Indiana Ave
Spokane Valley, WA 99216
Phone (509) 928-8040
Interoperability endpoints
- bwietharn45125@skagit.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Ophthalmology Physician
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- NPI 1043212400
-
- Ophthalmology Physician
- Mount Vernon, WA
- NPI 1134121593
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- Ophthalmology Physician
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- NPI 1275533127
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- Ophthalmology Physician
- Arlington, WA
- NPI 1386264703
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- Durable Medical Equipment & Medical Supplies
- Fountain Valley, CA
- NPI 1770938292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1255420782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 MEDICAL CENTER DR",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982231697",
"telephone_number": "360-435-8595",
"fax_number": "360-435-5233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 MEDICAL CENTER DR",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982231697",
"telephone_number": "360-435-8595",
"fax_number": "360-435-5233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIETHARN",
"first_name": "BRUCE",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD00043436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8389991",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.