Individual provider Active NPI

Dione Maia Schubach, O.D.

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1417101635
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60031716 Issued in WA
Practice address
9000 NE Highway 99
Vancouver, WA 98665-8923
Phone
(360) 571-4095
NPI assigned
Nov 14, 2008
Last updated
Feb 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60031716 WA Primary

Addresses

Primary practice location

9000 NE Highway 99
Vancouver, WA 98665-8923

Mailing address

3613 SE 181St Ave
Vancouver, WA 98683-8265
Phone (503) 473-4025

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130718000304 WA Practitioner - Optometry 2466693379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

118 SE 1St St
Winlock, WA 98596-9308
Phone (360) 785-3861

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60031716WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dione Schubach, PS Optometrist CurrentSince Sep 24, 2019 Accepting new patients
Vancouver Eye Care PS CurrentSince Aug 1, 2018 Accepting new patients
Vancouver Eye Care, P.S. Optometrist CurrentSince Aug 1, 2018 Accepting new patients
Chuen Y Wong Past Accepting new patients

Locations

3200 Main St
Vancouver, WA 98663
Phone (360) 696-4691

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1417101635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 SE 181ST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838265",
            "telephone_number": "503-473-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 NE HIGHWAY 99",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658923",
            "telephone_number": "360-571-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUBACH",
        "first_name": "DIONE",
        "middle_name": "MAIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60031716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.