Spokane Eye Clinic PS

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SPOKANE EYE CLINIC PS

Practice address

9651 N Nevada St
Spokane, WA 99218-1132

Phone

(509) 456-0107

Fax

(509) 747-2635

NPI assigned

Mar 29, 2024

Organization subpart

Yes

Parent organization

SPOKANE EYE CLINIC PSAs reported in NPPES

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

Authorized official

Name

Steven A Madreperla, MD

Title

Owner

Phone

(908) 458-8333

Specialties & licenses 1

Addresses

Other names 1

• Spokane Optical Company Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Spokane Eye Clinic PS

  • Ophthalmology Physician
  • Spokane, WA
  • NPI 1003667809

  1759278393

  Same PAC ID
• Spokane Eye Clinic PS

  • Multi-Specialty Clinic/Center
  • Spokane, WA
  • NPI 1730187899

  1759278393

  Same PAC ID
• Spokane Eye Clinic PS

  • Ophthalmology Physician
  • Spokane Valley, WA
  • NPI 1790536597

  1759278393

  Same PAC ID
• Spokane Eye Clinic PS

  • Ambulatory Surgical Clinic/Center
  • Spokane, WA
  • NPI 1831165331

  1759278393

  Same PAC ID

Tax ID family

Spokane Eye Clinic5 organizations share this tax ID, including this one

Part of

Spokane Eye Clinic

Other organizations with this tax ID 4

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

• Spokane Eye Clinic PS

  • Ophthalmology Physician
  • Spokane, WA
  • NPI 1003667809
  NPD tax ID
• Spokane Eye Clinic PS

  • Multi-Specialty Clinic/Center
  • Spokane, WA
  • NPI 1730187899
  NPD tax ID
• Spokane Eye Clinic PS

  • Ophthalmology Physician
  • Spokane Valley, WA
  • NPI 1790536597
  NPD tax ID
• Spokane Eye Clinic PS

  • Ambulatory Surgical Clinic/Center
  • Spokane, WA
  • NPI 1831165331
  NPD tax ID

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1508617317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S BERNARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042509",
            "telephone_number": "509-623-9782",
            "fax_number": "509-747-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9651 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181132",
            "telephone_number": "509-456-0107",
            "fax_number": "509-747-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE EYE CLINIC PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPOKANE EYE CLINIC PS",
        "enumeration_date": "2024-03-29",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "MADREPERLA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-458-8333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spokane Optical Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spokane Emergency Group, a Professional LLC
• Spokane Emergency Medicine Associates, PS
• Spokane Emergency Physicians, PS
• Spokane ENT Clinic Mayfair
• Spokane Eye Clinic PS
• Spokane Eye Clinic PS
• Spokane Eye Clinic PS
• Spokane Falls Care LLC
• Spokane Falls Recovery Center
• Spokane Family Connections

• Ophthalmology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.