Great Basin Eyecare, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD1536TX Issued in WA

Legal business name

GREAT BASIN EYECARE, PLLC

Practice address

9825 Sandifur Pkwy
Suite B
Pasco, WA 99301-6738

Phone

(509) 547-6998

Fax

(509) 547-6966

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kelly J Cochrane, ODNPI 1184693897

Title

Owner

Phone

(509) 547-6998

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

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

• Kelly James Cochrane, OD

  • Optometrist
  • Pasco, WA
  • NPI 1184693897
  Medicare reassignment NPD Authorized official
• Catherine C. Pardini, O.D.

  • Optometrist
  • Colville, WA
  • NPI 1831328939
  NPD (past)
• Loren G Stueckle, OD

  • Optometrist
  • Kennewick, WA
  • NPI 1609948926
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1487836151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4013",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993024013",
            "telephone_number": "509-547-6998",
            "fax_number": "509-547-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 SANDIFUR PKWY",
            "address_2": "SUITE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993016738",
            "telephone_number": "509-547-6998",
            "fax_number": "509-547-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT BASIN EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "COCHRANE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-547-6998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD1536TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. LABOR AND INDUSTRIE",
            "identifier": "0226424",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Tyler Gorton, DMD
• Howard Graber III
• Luke Graesser, DPT
• Colleen Grall, R.N.
• Kayla Mae Grant
• Hermann Green
• Elizabeth Greenaway
• Steven Dale Greenwald
• Greer McNamara DDS PLLC
• Joshua Benjamin Grimm, D.P.M.

• Optometrist in Pasco, WA
• Providers in Pasco, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.