Individual provider Active NPI

Eric Allan Van Orman, O.D.

  • Optometrist
  • Port Angeles, WA
National Provider Identifier
1467552430
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1862 Issued in WA
Practice address
3500 E Highway 101
Vision Center @ Wal-Mart
Port Angeles, WA 98362-9148
Phone
(360) 452-6131
Fax
(360) 452-7950
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1862 WA Primary

Addresses

Primary practice location

3500 E Highway 101
Vision Center @ Wal-Mart
Port Angeles, WA 98362-9148

Mailing address

3500 E Highway 101
Vision Center @ Wal-Mart
Port Angeles, WA 98362-9148
Phone (360) 452-6131

Other identifiers 1

IdentifierTypeStateIssuer
2021947MedicaidWA

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
I20110301001171 WA Practitioner - Optometry 0345420220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric a. Van Orman, IncGroup PAC ID 9739360363, 2 clinicians

Practice addresses (Care Compare)

811 Georgiana St
Port Angeles, WA 98362-3511
Phone (360) 452-2100

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1862WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric a. Van Orman, Inc Optometrist CurrentSince Aug 16, 2010 Accepting new patients
Angeles Vision Clinic, Inc. Optometrist Past Accepting new patients

Locations

811 Georgiana St
Port Angeles, WA 98362
Phone (360) 452-2100

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1467552430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 E HIGHWAY 101",
            "address_2": "VISION CENTER @ WAL-MART",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629148",
            "telephone_number": "360-452-6131",
            "fax_number": "360-452-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 E HIGHWAY 101",
            "address_2": "VISION CENTER @ WAL-MART",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629148",
            "telephone_number": "360-452-6131",
            "fax_number": "360-452-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ORMAN",
        "first_name": "ERIC",
        "middle_name": "ALLAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021947",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.