Mid Columbia Eyecare Center, Inc, PS

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MID COLUMBIA EYECARE CENTER, INC, PS

Practice address

4403 W Court St Ste J
Pasco, WA 99301-2879

Phone

(509) 547-9695

Fax

(509) 547-5017

NPI assigned

Jun 12, 2007

Last updated

Dec 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Romelia Sifuentez

Title

Office Manager

Phone

(509) 547-9695

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 34

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.

• Nicholas Gubler, O.D.

  • Optometrist
  • Pasco, WA
  • NPI 1700226180
  Medicare reassignment Care Compare group NPD
• Daniel C Perdue, O.D.

  • Optometrist
  • Pasco, WA
  • NPI 1598735110
  Medicare reassignment Care Compare group NPD
• Mohammad Abdeljawad, MD

  • Family Medicine Physician
  • Voorhees, NJ
  • NPI 1487917365
  NPD (past)
• Ramesh Adabala, M.D.,

  • Internal Medicine Physician
  • Newark, DE
  • NPI 1902898596
  NPD (past)
• Allen Dale Adams, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1700862794
  NPD (past)
• Ammar Alimam, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Ephrata, PA
  • NPI 1770542946
  NPD (past)
• Stephen Anthony Becker, M.D., MBA

  • Surgical Critical Care Physician
  • Brick, NJ
  • NPI 1699770081
  NPD (past)
• Michael Dean Brunson, MD

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1679500102
  NPD (past)
• Catherine A. Buletza, MD

  • Surgical Critical Care Physician
  • West Palm Beach, FL
  • NPI 1912971607
  NPD (past)
• Daniel Yun Chu

  • Critical Care Medicine (Internal Medicine) Physician
  • Hoboken, NJ
  • NPI 1235222803
  NPD (past)
• Zaza Cohen

  • Critical Care Medicine (Internal Medicine) Physician
  • Montclair, NJ
  • NPI 1245334721
  NPD (past)
• Albino Copca Alvarez, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Neptune, NJ
  • NPI 1750875050
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1750585972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 W COURT ST STE J",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012879",
            "telephone_number": "509-547-9695",
            "fax_number": "509-547-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 W COURT ST STE J",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012879",
            "telephone_number": "509-547-9695",
            "fax_number": "509-547-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID COLUMBIA EYECARE CENTER, INC, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "SIFUENTEZ",
        "authorized_official_first_name": "ROMELIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-547-9695"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020683",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa R Meza
• William Mich, RPH
• Jan Michael, LICSW
• Mark A Michael, O.D.
• Scott Michael, MSW
• Danielle Marie Miller, SLPA
• Terry Kay Miller, SUDPT
• Marsha Mirus
• Ashley Elizabeth Mitchell, MSW, LAICSW
• Robert R Mitchell, PA-C

• Optometrist in Pasco, WA
• Providers in Pasco, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.