Active NPI
Eberhardt Vision Center Inc.
- Optometrist
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4255
- Legal business name
- EBERHARDT VISION CENTER INC.
- Practice address
- 1427 N Laventure Rd
Mount Vernon, WA 98273-2765 - Phone
- (360) 424-0553
- Fax
- (360) 424-9603
- NPI assigned
- Mar 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Neil Scott Eberhardt, OD
- Title
- Owenr
- Phone
- (360) 424-0553
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4255 | WA | Primary |
Addresses
Primary practice location
1427 N Laventure Rd
Mount Vernon, WA 98273-2765
Mailing address
1427 N Laventure Rd
Mount Vernon, WA 98273-2765
Phone (360) 424-0553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Arlington Vision Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Arlington, WA
- NPI 1508208984
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Mount Vernon, WA
- NPI 1518014737
-
- Optometrist
- Bellingham, WA
- NPI 1790817559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222214400000",
"number": "1447421722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 N LAVENTURE RD",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982732765",
"telephone_number": "360-424-0553",
"fax_number": "360-424-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 N LAVENTURE RD",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982732765",
"telephone_number": "360-424-0553",
"fax_number": "360-424-9603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EBERHARDT VISION CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-14",
"last_updated": "2008-09-24",
"status": "A",
"authorized_official_last_name": "EBERHARDT",
"authorized_official_first_name": "NEIL",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "OWENR",
"authorized_official_telephone_number": "360-424-0553",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "4255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.