Organization Active NPI

Ehlers Eye Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • Yakima, WA
National Provider Identifier
1518070879
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
EHLERS EYE SURGERY LLC
Practice address
3403 Powerhouse Rd
Yakima, WA 98902-1547
Phone
(509) 966-2253
Fax
(509) 966-3768
NPI assigned
Aug 17, 2006
Last updated
Nov 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Dr. Richard E Ehlers, MDNPI 1578661021
Title
Owner
Phone
(509) 966-2253

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
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

3403 Powerhouse Rd
Yakima, WA 98902-1547

Mailing address

3403 Powerhouse Rd
Yakima, WA 98902-1547
Phone (509) 966-2253

Other identifiers 3

IdentifierTypeStateIssuer
0199587OtherWALABOR & INDUSTRIES
7126451MedicaidWA
P00183731OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050112000261 WA Part B Supplier - Ambulatory Surgical Center 1254389695 Receives reassigned benefits from 1 practitioner
Practice locations: Yakima, WA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Ehlers Eye Surgery LLCCCN 50C0001238
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D1024980Ehlers Eye Surgery, LLC3403 Powerhouse Road, Yakima, WA 98902Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1518070879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 POWERHOUSE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021547",
            "telephone_number": "509-966-2253",
            "fax_number": "509-966-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 POWERHOUSE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021547",
            "telephone_number": "509-966-2253",
            "fax_number": "509-966-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHLERS EYE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "EHLERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-966-2253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0199587",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7126451",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00183731",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.