Organization Active NPI

Adams Optometric PLLC

Doing business as EyeQ Optical

  • Optometrist
  • Spokane Valley, WA
National Provider Identifier
1376204180
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ADAMS OPTOMETRIC PLLC
Doing business as
EyeQ Optical
Practice address
509 N Sullivan Rd Ste G
Spokane Valley, WA 99037-8566
Phone
(509) 922-0633
Fax
(509) 922-0623
NPI assigned
Jan 4, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Authorized official

Name
Dr. Daniel Adams, ODNPI 1396238689
Title
Owner
Phone
(509) 922-0633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

509 N Sullivan Rd Ste G
Spokane Valley, WA 99037-8566

Mailing address

509 N Sullivan Rd Ste G
Spokane Valley, WA 99037-8566
Phone (509) 922-0633

Other names 1

  • EyeQ Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220308000671 WA Part B Supplier - Clinic/Group Practice 4284028291 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane Valley, WA

National Provider Directory

National Provider Directory

Locations

509 N Sullivan Rd
Ste G
Spokane Valley, WA 99037
Phone (509) 922-0633

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1376204180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N SULLIVAN RD STE G",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378566",
            "telephone_number": "509-922-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N SULLIVAN RD STE G",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378566",
            "telephone_number": "509-922-0633",
            "fax_number": "509-922-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS OPTOMETRIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-922-0633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeQ Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.