Eye Care Specialists PS

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00014109 Issued in WA

Legal business name

EYE CARE SPECIALISTS PS

Practice address

825 SE Bishop Blvd Ste 110
Pullman, WA 99163-5517

Phone

(509) 334-1661

Fax

(509) 334-1788

NPI assigned

Dec 13, 2006

Organization subpart

Yes

Parent organization

EYE CARE SPECIALISTS PS DBA THE LASER & SURGERY CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Mark T Eggleston, MD

Title

President

Phone

(509) 758-8811

Specialties & licenses 4

Addresses

Other identifiers 7

Other names 1

• Eye Care Optical Doing business as

Part of

Eye Care Specialiast PS

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1710048772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PORT DR",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994031835",
            "telephone_number": "509-758-8811",
            "fax_number": "509-751-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 110",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-334-1661",
            "fax_number": "509-334-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE SPECIALISTS PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CARE SPECIALISTS PS DBA THE LASER & SURGERY CENTER",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "EGGLESTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-758-8811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003976",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "WA",
            "license": "601269693",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "601269693",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00014109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010006387",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805350600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8927759",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "85977",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & IND",
            "identifier": "0123143",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "24509",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7088859",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard A Emtman, MD
• Cassandra Dee Eng
• Daniel Jay Everett, RPH
• Kathleen Joy Evermann, LICSW
• Eye and Wellness, LLC
• Eye Care Specialists PS
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• Ophthalmology Physician in Pullman, WA
• Providers in Pullman, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.