Individual provider Active NPI

Philip N Bastian, O.D.

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1740535624
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60293970 Issued in WA
Practice address
2222 James St Ste a
Bellingham, WA 98225-4152
Phone
(360) 676-4030
Fax
(360) 676-4030
NPI assigned
Jul 17, 2012
Last updated
Jul 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60293970 WA Primary
Corneal and Contact Management Optometrist 152WC0802X OD60293970 WA

Addresses

Primary practice location

2222 James St Ste a
Bellingham, WA 98225-4152

Mailing address

2222 James St Ste a
Bellingham, WA 98225-4152
Phone (360) 676-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121019000382 WA Practitioner - Optometry 5193975571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whatcom Vision Clinics LLCGroup PAC ID 7618866732, 4 clinicians

Practice addresses (Care Compare)

2222 James St a
Bellingham, WA 98225-4152
Phone (360) 676-4030

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whatcom Vision Clinics LLC Optometrist CurrentSince Jul 12, 2012 Accepting new patients

Locations

2222 James St
Ste A
Bellingham, WA 98225
Phone (360) 676-4030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1740535624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 JAMES ST STE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254152",
            "telephone_number": "360-676-4030",
            "fax_number": "360-676-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 JAMES ST STE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254152",
            "telephone_number": "360-676-4030",
            "fax_number": "360-676-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIAN",
        "first_name": "PHILIP",
        "middle_name": "N",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60293970",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "OD60293970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.