Individual provider Active NPI

Devin A Harrison, M.D.

  • Ophthalmology Physician
  • Richland, WA
National Provider Identifier
1447257266
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00031796 Issued in WA
Practice address
475 Bradley Blvd.
Richland, WA 99352-4419
Phone
(509) 943-2240
Fax
(509) 943-1575
NPI assigned
Jul 7, 2005
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00031796 WA
Ophthalmology Physician 207W00000X 00031796 WA
Ophthalmology Physician 207W00000X MD00031796 WA Primary

Addresses

Primary practice location

475 Bradley Blvd.
Richland, WA 99352-4419

Mailing address

PO Box 1529
Richland, WA 99352-1529
Phone (509) 943-2240

Other identifiers 1

IdentifierTypeStateIssuer
8128620MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dharrison@river.integrityemrdirect.com

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060628000097 WA Practitioner - Ophthalmology 2163434614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Spectrum Eye Care PSGroup PAC ID 3375432636, 3 clinicians

Practice addresses (Care Compare)

475 Bradley Blvd
Richland, WA 99352-4419
Phone (509) 943-2240

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
82.94
Improvement activities
40
Cost
77.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00031796WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Full Spectrum Eye Care, P.S. CurrentSince May 12, 2008 Accepting new patients
Full Spectrum Eye Care, PS Ophthalmology CurrentSince May 12, 2008 Accepting new patients
Whidbey Eye Center PLLC Ophthalmology Past Accepting new patients
Mark S Cichowski, MD Past Accepting new patients
Full Spectrum Eye Care, P.S. Past Accepting new patients
Northwest Eye Clinic Inc., PS PastSince May 1, 1991 Accepting new patients
Northwest Eye Clinic Inc., P.S. Past Accepting new patients

Locations

475 Bradley Blvd
Richland, WA 99352
Phone (509) 895-4968

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1447257266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1529",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993521529",
            "telephone_number": "509-943-2240",
            "fax_number": "509-943-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BRADLEY BLVD.",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524419",
            "telephone_number": "509-943-2240",
            "fax_number": "509-943-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "DEVIN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00031796",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "00031796",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00031796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8128620",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dharrison@river.integrityemrdirect.com",
            "affiliation": "N",
            "address_1": "475 Bradley Blvd.",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993524419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.