Columbia Eyecare PC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

MD16861 Issued in OR

Legal business name

COLUMBIA EYECARE PC

Practice address

12306 SE Mill Plain Blvd
Ste. 100
Vancouver, WA 98684-6061

Phone

(360) 896-8482

Fax

(360) 896-6456

NPI assigned

Nov 9, 2012

Last updated

Nov 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joan Steffens

Title

Administrator

Phone

(360) 896-8482

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Columbia Eyecare PC

  • Surgery Physician
  • Vancouver, WA
  • NPI 1265759708

  7315130390

  Same PAC ID

Tax ID family

Columbia Eyecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Columbia Eyecare PC

  • Surgery Physician
  • Vancouver, WA
  • NPI 1265759708
  NPD tax ID

Locations

Practitioners 1

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.

• Stanley Lloyd Crews, M.D.

  • Ophthalmology Physician
  • Vancouver, WA
  • NPI 1760674592

  OR

  Medicare reassignment

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1255685434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12306 SE MILL PLAIN BLVD",
            "address_2": "STE. 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846061",
            "telephone_number": "360-896-8482",
            "fax_number": "360-896-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12306 SE MILL PLAIN BLVD",
            "address_2": "STE. 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846061",
            "telephone_number": "360-896-8482",
            "fax_number": "360-896-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "STEFFENS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-896-8482"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "OR",
            "license": "MD16861",
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "WA",
            "license": "MD00024816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jay Colon, MSW, MHP
• Tamara Sue Colpitts
• Justin Colquhoun, PA-C
• Columbia Anesthesia Group P S
• Columbia Endodontic Group, P.S.
• Columbia Eyecare PC
• Columbia Foot and Ankle Clinic-Virgil Gene Livinston
• Columbia Foot and Ankle Clinic, LLC
• Columbia Foot and Ankle Clinic, LLC
• Columbia Health Care Management Inc. (CHCM)

• Ophthalmologic Surgery Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Ophthalmologic Surgery Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.