Individual provider Active NPI

Daniel C Perdue, O.D.

  • Optometrist
  • Pasco, WA
National Provider Identifier
1598735110
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3345 Issued in WA
Practice address
4403 W Court St
Suite J
Pasco, WA 99301-2879
Phone
(509) 547-9695
Fax
(509) 547-5017
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3345 WA Primary

Addresses

Primary practice location

4403 W Court St
Suite J
Pasco, WA 99301-2879

Mailing address

4403 W Court St
Suite J
Pasco, WA 99301-2879
Phone (509) 547-9695

Other identifiers 1

IdentifierTypeStateIssuer
2020691MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000354 WA Practitioner - Optometry 0143304378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Columbia Eyecare Center, Inc, PSGroup PAC ID 5092602631, 2 clinicians

Practice addresses (Care Compare)

4403 W Court St J
Pasco, WA 99301-2879
Phone (509) 547-9695

Merit-based Incentive Payment System (MIPS)

Final score
84.51 of 100Reported as group
Quality
69.01
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3345WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Columbia Eyecare Center, Inc, PS Optometrist CurrentSince Aug 1, 1997 Accepting new patients

Locations

4403 W Court St
Ste J
Pasco, WA 99301
Phone (509) 547-9695

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1598735110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 W COURT ST",
            "address_2": "SUITE J",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012879",
            "telephone_number": "509-547-9695",
            "fax_number": "509-547-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 W COURT ST",
            "address_2": "SUITE J",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012879",
            "telephone_number": "509-547-9695",
            "fax_number": "509-547-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020691",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.