Maureen Susan Fahey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

WA00003148 Issued in WA

Practice address

8503 W Clearwater Ave
Ste a
Kennewick, WA 99336-3100

Phone

(509) 735-2050

Fax

(509) 735-2288

NPI assigned

Dec 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1275717696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8503 W CLEARWATER AVE",
            "address_2": "STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363100",
            "telephone_number": "509-735-2050",
            "fax_number": "509-735-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8503 W CLEARWATER AVE",
            "address_2": "STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363100",
            "telephone_number": "509-735-2050",
            "fax_number": "509-735-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "MAUREEN",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA00003148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2032142",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U43761",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Exhale Therapy PLLC
• Eyecare Vision and Optical
• Eyemart Express LLC
• Eyemart Express LTD
• Jon H Fager, RN
• Kaylyn Elizabeth Fairchild, MSW
• Elizabeth Jane Faletti, D.C.
• Family Connections of Tri Cities
• Family Eye Care PS
• Cassandra Elizabeth Fancher, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.

Verify at the official NPI Registry.