NPIMap

Organization Active NPI

Central Washington Health Services Association

Doing business as Confluence Health Regional Eye Center Omak

  • Optician
  • Omak, WA
National Provider Identifier
1528801602
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
Doing business as
Confluence Health Regional Eye Center Omak
Practice address
717 Okoma Dr
Omak, WA 98841-9593
Phone
(509) 826-1191
NPI assigned
Jun 17, 2024
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Andrew Jones
Title
Cfo
Phone
(509) 662-1511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

717 Okoma Dr
Omak, WA 98841-9593

Mailing address

PO Box 361
Wenatchee, WA 98807-0361
Phone (509) 663-8711

Other names 1

  • CONFLUENCE HEALTH REGIONAL EYE CENTER OMAK Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240719002864 WA DME Supplier - Physician - Optometrist 4880504596 Practice locations: Omak, WA

Other NPIs with the same Medicare PAC ID 24

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

View all 24

National Provider Directory

National Provider Directory
Tax ID family
CWH Health Services24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Central Washington Health ServicesWenatchee, WA, CCN 507029 Home health agency Operational/Managerial Control Jul 21, 2013
Confluence Health Tonasket ClinicTonasket, WA, CCN 503932 Rural health clinic Operational/Managerial Control Jul 13, 2023
Confluence Health Oroville ClinicOroville, WA, CCN 503936 Rural health clinic Operational/Managerial Control Jul 13, 2013
Confluence Health Moses Lake ClinicMoses Lake, WA, CCN 503934 Rural health clinic Operational/Managerial Control Jul 13, 2023
Confluence Health Wenatchee ClinicWenatchee, WA, CCN 503938 Rural health clinic Operational/Managerial Control Jul 1, 2013
Confluence Health Ephrata ClinicEphrata, WA, CCN 503927 Rural health clinic Operational/Managerial Control Jul 1, 2023
Confluence Health Waterville ClinicWaterville, WA, CCN 503937 Rural health clinic Operational/Managerial Control Jul 1, 2023
Confluence Health Brewster ClinicBrewster, WA, CCN 503920 Rural health clinic Operational/Managerial Control Jul 1, 2023
Confluence Health Cashmere ClinicCashmere, WA, CCN 503933 Rural health clinic Operational/Managerial Control Jul 13, 2013
Confluence Health Omak ClinicOmak, WA, CCN 503935 Rural health clinic Operational/Managerial Control Jul 13, 2013
Confluence Health E Wenatchee ClinicE Wenatchee, WA, CCN 503931 Rural health clinic Operational/Managerial Control Jul 1, 2023
Confluence Health Royal City ClinicRoyal City, WA, CCN 503854 Rural health clinic Operational/Managerial Control Jul 13, 2013

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1528801602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988070361",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 OKOMA DR",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419593",
            "telephone_number": "509-826-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-662-1511"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONFLUENCE HEALTH REGIONAL EYE CENTER OMAK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omak, WA

Sources for this page

Verify at the official NPI Registry.