Organization Active NPI

Clearview Eyecare, PLLC

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1720323306
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1747 Issued in WA
Legal business name
CLEARVIEW EYECARE, PLLC
Practice address
410 W. Bakerview Rd
Suite 107
Bellingham, WA 98226
Phone
(360) 392-8306
Fax
(360) 778-1378
NPI assigned
Dec 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
Dr. Darlene Mae Anker, O.D.NPI 1992963433
Title
Owner/Optometrist
Phone
(360) 392-8306

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 1747 WA Primary

Addresses

Primary practice location

410 W. Bakerview Rd
Suite 107
Bellingham, WA 98226

Mailing address

410 W. Bakerview Rd
Suite 107
Bellingham, WA 98226
Phone (360) 392-8306

Other identifiers 1

IdentifierTypeStateIssuer
1093366MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130228000189 WA Part B Supplier - Clinic/Group Practice 1557516358 Receives reassigned benefits from 3 practitioners
Practice locations: Bellingham, WA

National Provider Directory

National Provider Directory

Locations

410 W Bakerview Rd
Ste 107
Bellingham, WA 98226
Phone (360) 392-8306

Practitioners & affiliated clinicians

Practitioners 3

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": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1720323306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W. BAKERVIEW RD",
            "address_2": "SUITE 107",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "360-392-8306",
            "fax_number": "360-778-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W. BAKERVIEW RD",
            "address_2": "SUITE 107",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "360-392-8306",
            "fax_number": "360-778-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARVIEW EYECARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "ANKER",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "360-392-8306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093366",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.