NPIMap

Organization Active NPI

Valley Vision Associates, LLP

  • Optometrist
  • Ellensburg, WA
National Provider Identifier
1710021944
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VALLEY VISION ASSOCIATES, LLP
Practice address
2201 W. Dolarway Rd.
Suite 2
Ellensburg, WA 98926-3119
Phone
(509) 925-1000
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Dr. Scott M Oltman, ODNPI 1710094636
Title
Owner-Optometrist
Phone
(509) 925-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2201 W. Dolarway Rd.
Suite 2
Ellensburg, WA 98926-3119

Mailing address

2201 W. Dolarway Rd.
Suite 2
Ellensburg, WA 98926-3119
Phone (509) 925-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070702000140 WA Part B Supplier - Clinic/Group Practice 8729187893 Receives reassigned benefits from 8 practitioners
Practice locations: Ellensburg, WA
O20100930005165 WA DME Supplier - Physician - Optometrist 8729187893 Practice locations: Ellensburg, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Valley Vision Associates, LLP2201 W Dolarway Rd, Ellensburg, WA 98926-82285099251000833 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2020

National Provider Directory

National Provider Directory

Locations

2201 W Dolarway Rd
#2
Ellensburg, WA 98926
Phone (509) 925-1000

2201 W Dolarway Rd
Ellensburg, WA 98926
Phone (509) 925-1000

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1710021944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W. DOLARWAY RD.",
            "address_2": "SUITE 2",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263119",
            "telephone_number": "509-925-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W. DOLARWAY RD.",
            "address_2": "SUITE 2",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263119",
            "telephone_number": "509-925-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VISION ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "OLTMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER-OPTOMETRIST",
        "authorized_official_telephone_number": "509-925-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.