Clyde Bruce Slavin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001020 Issued in WA

Practice address

519 NW Wildwood Dr
Vancouver, WA 98665-7545

Phone

(360) 909-3776

Fax

(360) 885-7989

NPI assigned

Apr 13, 2006

Last updated

Jan 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Panorama Vision Care, Inc

  • Optometrist
  • Vancouver, WA
  • NPI 1992995112
  NPD (past) Authorized official

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1780648055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 NW WILDWOOD DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986657545",
            "telephone_number": "360-909-3776",
            "fax_number": "360-885-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 NW WILDWOOD DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986657545",
            "telephone_number": "360-909-3776",
            "fax_number": "360-885-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVIN",
        "first_name": "CLYDE",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001020",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1212AT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024354",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey Jade Slaughter, M.D.
• Caitlin Slaughter
• Lee Slaughter
• Gary Slaven, CTRS
• Wanda Juliet Slavick
• Suzanne Denise Slayton-Milam, MD
• Sleep Health & Wellness NW Vancouver
• Sleep Health & Wellness NW-Vancouver
• Sleep Health Clinic PLLC
• Sleep Systems Plus, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.