NPIMap

Organization Active NPI

Yakima Vision Center, PC

  • Clinic/Center
  • Yakima, WA
National Provider Identifier
1528237203
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OD00003018 Issued in WA
Legal business name
YAKIMA VISION CENTER, PC
Practice address
2010 W Lincoln Ave
Suite 1
Yakima, WA 98902-2413
Phone
(509) 965-5200
Fax
(509) 452-7563
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Dr. Susan Laible Farmer, O.D.NPI 1881740769
Title
Optometric Physician/Owner
Phone
(509) 965-5200

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
Clinic/Center 261Q00000X OD00003018 WA Primary

Addresses

Primary practice location

2010 W Lincoln Ave
Suite 1
Yakima, WA 98902-2413

Mailing address

2010 W Lincoln Ave
Suite 1
Yakima, WA 98902-2413
Phone (509) 965-5200

Other identifiers 2

IdentifierTypeStateIssuer
2034494MedicaidWA
G8872148OtherWAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080424000492 WA Part B Supplier - Clinic/Group Practice 6406934827 Receives reassigned benefits from 3 practitioners
Practice locations: Yakima, WA

National Provider Directory

National Provider Directory

Locations

2010 W Lincoln Ave
#1
Yakima, WA 98902
Phone (509) 965-5200

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1528237203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W LINCOLN AVE",
            "address_2": "SUITE 1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022413",
            "telephone_number": "509-965-5200",
            "fax_number": "509-452-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W LINCOLN AVE",
            "address_2": "SUITE 1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022413",
            "telephone_number": "509-965-5200",
            "fax_number": "509-452-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VISION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LAIBLE",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "509-965-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "OD00003018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2034494",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8872148",
            "state": "WA"
        }
    ],
    "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 May 4, 2012; 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.