Individual provider Active NPI

Dana Spearin

  • Optometrist
  • Grandview, WA
National Provider Identifier
1659725547
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60746540 Issued in WA
Practice address
1023 W Wine Country Rd
Grandview, WA 98930-1041
Phone
(509) 882-2650
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 60746540 WA
Pediatric Optometrist 152WP0200X 60746540 WA
Optometrist 152W00000X 60746540 WA Primary

Addresses

Primary practice location

1023 W Wine Country Rd
Grandview, WA 98930-1041

Mailing address

1023 W Wine Country Rd
Grandview, WA 98930-1041

Other practice location 1

241 S Manuel Ln
Zillah, WA 98953-9247
Phone (509) 930-3840

Other identifiers 1

IdentifierTypeStateIssuer
2081577MedicaidWA

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
I20171029000006 WA Practitioner - Optometry 1759657257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Vision Center PCGroup PAC ID 6406934827, 2 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60746540WAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Vision Center, PC CurrentSince Aug 7, 2024 Accepting new patients

Locations

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

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1659725547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 W WINE COUNTRY RD",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989301041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 W WINE COUNTRY RD",
            "city": "GRANDVIEW",
            "state": "WA",
            "postal_code": "989301041",
            "telephone_number": "509-882-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 S Manuel Ln",
            "address_purpose": "LOCATION",
            "city": "Zillah",
            "state": "WA",
            "postal_code": "989539247",
            "country_code": "US",
            "telephone_number": "509-930-3840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEARIN",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "60746540",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "WA",
            "license": "60746540",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60746540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2081577",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview, WA

Sources for this page

Verify at the official NPI Registry.