Columbia Eyecare PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD24816 Issued in WA

Legal business name

COLUMBIA EYECARE PC

Practice address

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

Phone

(360) 896-8482

Fax

(360) 896-6456

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stanley L Crews, MDNPI 1760674592

Title

President

Phone

(360) 896-8482

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

  • Ophthalmologic Surgery Clinic/Center
  • Vancouver, WA
  • NPI 1255685434

  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

  • Ophthalmologic Surgery Clinic/Center
  • Vancouver, WA
  • NPI 1255685434
  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.

• Stanley Lloyd Crews, M.D.

  • Ophthalmology Physician
  • Vancouver, WA
  • NPI 1760674592
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1265759708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12306 SE MILL PLAIN BLVD",
            "address_2": "SUITE 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": "SUITE 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": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-896-8482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD24816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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.
• Columbia Imaging Group, PS

• Surgery Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.