Ephrata Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1908 Issued in WA

Legal business name

EPHRATA EYE CARE, PLLC

Practice address

1070 Basin St SW Ste F
Ephrata, WA 98823-1005

Phone

(509) 754-2020

Fax

(509) 754-9243

NPI assigned

Sep 2, 2010

Last updated

Aug 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Clayton

Title

Manager

Phone

(509) 754-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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.

• George T Sisson, OD

  • Optometrist
  • Ephrata, WA
  • NPI 1811983299
  Medicare reassignment NPD

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1629385232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 BASIN ST SW STE F",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231005",
            "telephone_number": "509-754-2020",
            "fax_number": "509-754-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 BASIN ST SW STE F",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231005",
            "telephone_number": "509-754-2020",
            "fax_number": "509-754-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPHRATA EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-754-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul P Dominguiano, MD
• Renee Christine Dormaier, LMP
• Dr. Tashauna Devine PLLC (Davis Chiropractic and Wellness Clinic)
• Rhonda Venise Edison, D.O.
• Ephrata Community Dental Clinic
• Ephrata Family Dentistry
• Ephrata Medical Center P.S.
• Ephrata School District
• Dolores Ford, MS, NCC, LMHCA
• Hans W Fredericksen, RPH

• Optometrist in Ephrata, WA
• Providers in Ephrata, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.