Eberhardt Vision Center, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1991 Issued in WA

Legal business name

EBERHARDT VISION CENTER, INC

Doing business as

Arlington Vision Center

Practice address

524 N Macleod Ave
Arlington, WA 98223-1226

Phone

(360) 435-2043

Fax

(360) 435-6014

NPI assigned

Jul 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Neil Scott Eberhardt, O.D.NPI 1518014737

Title

President

Phone

(360) 435-2043

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arlington Vision Center Doing business as

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.

• Eberhardt Vision Center Inc.

  • Optometrist
  • Mount Vernon, WA
  • NPI 1447421722

  O20080929000664

  Same enrollment

Tax ID family

Arlington Vision Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eberhardt Vision Center Inc.

  • Optometrist
  • Mount Vernon, WA
  • NPI 1447421722
  NPD tax ID

Locations

Practitioners 2

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

• Neil Scott Eberhardt, O.D.

  • Optometrist
  • Mount Vernon, WA
  • NPI 1518014737
  NPD Authorized official
• Heather Leclaire, O.D.

  • Optometrist
  • Bellingham, WA
  • NPI 1790817559
  NPD

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1508208984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982230020",
            "telephone_number": "360-435-2043",
            "fax_number": "360-435-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 N MACLEOD AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231226",
            "telephone_number": "360-435-2043",
            "fax_number": "360-435-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBERHARDT VISION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "EBERHARDT",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-435-2043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029366",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celia Duty
• DW Han DMD PLLC. (Arlington Family Dentistry)
• John T. Dykstra, D.D.S., P.L.L.C
• Jessie Jiyeon Dziduch, FNP-C
• Eagle Family Dental Center
• Jennifer Wendt Edwards, MA,LMHC
• Sarah Eickhoff
• Edward W Eissmann, MD
• Ekapoj Thongin III, DMD, PLLC (8 to 8 DENTAL SMOKEY POINT)
• Jennifer Marie Eldridge, MA, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.