Precision Eye Care PS

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

601840864 Issued in WA

Legal business name

PRECISION EYE CARE PS

Practice address

8400 NE Vancouver Mall Loop
Suite 110
Vancouver, WA 98662-6648

Phone

(360) 254-5855

Fax

(360) 885-0661

NPI assigned

Feb 29, 2008

Last updated

Jun 11, 2022By 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

Dr. Judy Chan, ODNPI 1801899117

Title

Optometric Physician

Phone

(360) 254-5855

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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.

• Judy Chan, O.D.

  • Optometrist
  • Vancouver, WA
  • NPI 1801899117
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654905600000",
    "number": "1285804617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 NE VANCOUVER MALL LOOP",
            "address_2": "SUITE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626648",
            "telephone_number": "360-254-5855",
            "fax_number": "360-885-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 NE VANCOUVER MALL LOOP",
            "address_2": "SUITE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626648",
            "telephone_number": "360-254-5855",
            "fax_number": "360-885-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION EYE CARE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2022-06-11",
        "certification_date": "2022-06-11",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "360-254-5855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "601840864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Dawn Pray, LMHC
• Cameron Michael Preas, MSW, LICSW
• Jeromie Preas
• Precious Jewel Adult Family Home (none)
• Precision Distributing, Inc.
• Precision Relief Bodywork Inc.
• Karandeep Prehar
• Premere Rehab LLC (Infinity Rehab)
• Premere Rehab LLC (Infinity Rehab)
• Premere Rehab LLC (Prestige Senior Living Bridgewood)

• Preferred Provider Organization in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2022; 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.