Organization Active NPI

Brittain Eye Care, PS

Doing business as Westside Eye Center

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1740412105
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3536 Issued in WA
Legal business name
BRITTAIN EYE CARE, PS
Doing business as
Westside Eye Center
Practice address
7017 NE Highway 99
Ste. 202
Vancouver, WA 98665-0555
Phone
(360) 694-0760
Fax
(360) 694-1091
NPI assigned
Aug 19, 2009
Last updated
Jan 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Shawn Philip Brittain, O.DNPI 1457591166
Title
President
Phone
(360) 694-0760

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
Optometrist 152W00000X 3536 WA Primary

Addresses

Primary practice location

7017 NE Highway 99
Ste. 202
Vancouver, WA 98665-0555

Mailing address

7017 NE Highway 99
Ste. 202
Vancouver, WA 98665-0555
Phone (360) 694-0760

Other identifiers 1

IdentifierTypeStateIssuer
2005122MedicaidWA

Other names 1

  • Westside Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090916000717 WA Part B Supplier - Clinic/Group Practice 1658427695 Receives reassigned benefits from 1 practitioner
Practice locations: Camas, WA; Vancouver, WA

National Provider Directory

National Provider Directory

Locations

7017 NE Highway 99
Ste 202
Vancouver, WA 98665
Phone (360) 694-0760

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1740412105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 NE HIGHWAY 99",
            "address_2": "STE. 202",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650555",
            "telephone_number": "360-694-0760",
            "fax_number": "360-694-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 NE HIGHWAY 99",
            "address_2": "STE. 202",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650555",
            "telephone_number": "360-694-0760",
            "fax_number": "360-694-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTAIN EYE CARE, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "BRITTAIN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-694-0760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005122",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.