Vancouver Eye Care PS

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

PENDING Issued in WA

Legal business name

VANCOUVER EYE CARE PS

Practice address

17720 SE Mill Plain
Suite 100
Vancouver, WA 98683

Phone

(360) 823-2018

Fax

(360) 823-2022

NPI assigned

May 23, 2006

Organization subpart

Yes

Parent organization

VANCOUVER EYE CARE PSAs reported in NPPES

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

Authorized official

Name

Pamela J Huffman

Title

Administrator

Phone

(360) 823-2012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

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

• Vancouver Eye Care PS

  • Ophthalmology Physician
  • Vancouver, WA
  • NPI 1356375042

  5799673364

  Same PAC ID
• Vancouver Eye Care, P.S.

  • Eyewear Supplier
  • Vancouver, WA
  • NPI 1043482011

  5799673364

  Same PAC ID
• Vancouver Eye Care, P.S.

  • Eyewear Supplier
  • Vancouver, WA
  • NPI 1770755746

  5799673364

  Same PAC ID

Listed as

Vancouver Eye Care PSCCN 50C0001263

Medicare certification status

ActiveFrom the Provider of Services file

Part of

Vancouver Eye Care PS

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Vancouver Eye Care PS

  • Ophthalmology Physician
  • Vancouver, WA
  • NPI 1356375042
  NPPES parent name

Practitioners 4

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

• Evelyn J Wilcox, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Vancouver, WA
  • NPI 1568486637
  Medicare reassignment Care Compare group NPD (past)
• Deepa Abraham, MD

  • Ophthalmology Physician
  • Seattle, WA
  • NPI 1447250568
  NPD
• Eden Yoon, M.D.

  • Ophthalmology Physician
  • Tacoma, WA
  • NPI 1679916100
  NPD
• William D Vandecar IV, M.D.

  • Ophthalmology Physician
  • Lake Oswergo, OR
  • NPI 1821475427
  NPD

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1669427043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61896",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98666",
            "telephone_number": "360-696-2081",
            "fax_number": "360-823-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17720 SE MILL PLAIN",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "360-823-2018",
            "fax_number": "360-823-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER EYE CARE PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANCOUVER EYE CARE PS",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-823-2012"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vancouver ENT and ENT of the Northwest PLLC
• Vancouver ENT and ENT of the Northwest PLLC
• Vancouver ENT and ENT of the Northwest PLLC
• Vancouver ENT and ENT of the Northwest PLLC
• Vancouver Eye Care PS
• Vancouver Eye Care, P.S.
• Vancouver Eye Care, P.S.
• Vancouver Eye Care, P.S.
• Vancouver Foot and Ankle, PLLC
• Vancouver Guidance Clinic

• Ambulatory Surgical Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.