Organization Active NPI

Overall Optics LLC

  • Health Service Clinic/Center
  • Grand Coulee, WA
National Provider Identifier
1467162248
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
OVERALL OPTICS LLC
Practice address
407 Burdin Blvd
Grand Coulee, WA 99133-5009
Phone
(509) 633-0340
Fax
(509) 633-0161
NPI assigned
Dec 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Rachel Gilles, ODNPI 1033696455
Title
Owner
Phone
(541) 378-1838

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

407 Burdin Blvd
Grand Coulee, WA 99133-5009

Mailing address

407 Burdin Blvd
Grand Coulee, WA 99133-5009
Phone (509) 633-0340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230119000179 WA Part B Supplier - Clinic/Group Practice 4789055310 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Coulee, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1467162248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 BURDIN BLVD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991335009",
            "telephone_number": "509-633-0340",
            "fax_number": "509-633-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BURDIN BLVD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991335009",
            "telephone_number": "509-633-0340",
            "fax_number": "509-633-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERALL OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "GILLES",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-378-1838",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Coulee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.