Eye Care Specialists PS

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE CARE SPECIALISTS PS

Doing business as

The Laser and Surgery Center

Practice address

825 SE Bishop Blvd
Ste 110
Pullman, WA 99163-5517

Phone

(509) 334-1661

Fax

(509) 334-1788

NPI assigned

Mar 19, 2007

Last updated

Sep 20, 2011By 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

Dr. Mark T Eggleston, MDNPI 1306836705

Title

President

Phone

(509) 758-8811

Specialties & licenses 2

Addresses

Other names 1

• The Laser and Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye Care Specialists PS

  dba The Laser & Surgery Center

  • Ophthalmology Physician
  • Clarkston, WA
  • NPI 1639160450

  O20040317000302

  Same enrollment

Locations

Practitioners 1

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.

• Mark T Eggleston, MD

  • Ophthalmology Physician
  • Clarkston, WA
  • NPI 1306836705
  Authorized official Same address or phone

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1780708552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PORT DR",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994031835",
            "telephone_number": "509-758-8811",
            "fax_number": "509-751-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD",
            "address_2": "STE 110",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-334-1661",
            "fax_number": "509-334-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE SPECIALISTS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "EGGLESTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-758-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Laser and Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Jay Everett, RPH
• Kathleen Joy Evermann, LICSW
• Eye and Wellness, LLC
• Eye Care Specialists PS (Eye Care Optical)
• Eye Care Specialists PS (The Laser and Surgery Center)
• Facial Oral and Dental Implant Surgery Associates, Inc.
• Fahari Adult Family Home LLC
• Jonathan M. Fairbanks, DDS
• Family Home Care Corporation (Family Home Care and Hospice)
• Loralee Farrer, MS, CCC-SLP

• Ophthalmology Physician in Pullman, WA
• Providers in Pullman, WA by specialty
• Ophthalmology Physician in Washington

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