Organization Active NPI

Vision Plus of Barkley PLLC

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1437774734
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION PLUS OF BARKLEY PLLC
Practice address
2900 Woburn St Ste 101
Bellingham, WA 98226-3865
Phone
(360) 483-5252
NPI assigned
Jun 11, 2020
Last updated
Nov 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Dustin McGill, O.DNPI 1255765327
Title
Owner
Phone
(360) 393-4000

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2900 Woburn St Ste 101
Bellingham, WA 98226-3865

Mailing address

2520 James St
Bellingham, WA 98225-3545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201208002619 WA Part B Supplier - Clinic/Group Practice 4587076971 Receives reassigned benefits from 9 practitioners
Practice locations: Bellingham, WA
O20260303000283 WA DME Supplier - Physician - Optometrist 4587076971 Practice locations: Bellingham, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vision Plus of Barkley2900 Woburn St, Bellingham, WA 98226-3865(360) 483-2001 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Nov 20, 2020

National Provider Directory

National Provider Directory

Locations

2900 Woburn St
#101
Bellingham, WA 98226
Phone (360) 483-2001

2900 Woburn St
Ste 101
Bellingham, WA 98226
Phone (360) 483-2001

Practitioners & affiliated clinicians

Practitioners 9

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": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1437774734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 JAMES ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WOBURN ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263865",
            "telephone_number": "360-483-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PLUS OF BARKLEY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-393-4000",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.