Individual provider Active NPI

Heather Leclaire, O.D.

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1790817559
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3916 Issued in WA
Practice address
411 E Magnolia St
Bellingham, WA 98225-4510
Phone
(360) 647-2020
Fax
(360) 752-1771
NPI assigned
Mar 9, 2007
Last updated
Oct 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3024 MN
Optometrist 152W00000X 3916 WA Primary

Addresses

Primary practice location

411 E Magnolia St
Bellingham, WA 98225-4510

Mailing address

411 E Magnolia St
Bellingham, WA 98225-4510
Phone (360) 647-2020

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
I20130815000719 WA Practitioner - Optometry 5395987663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Binyon Vision Bellingham PLLCGroup PAC ID 3779980578, 2 clinicians

Practice addresses (Care Compare)

411 E Magnolia St
Bellingham, WA 98225-4510
Phone (360) 647-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3916WAMDOptometrist
3024MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Binyon Vision Bellingham PLLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Eberhardt Vision Center Inc. Optometrist CurrentSince Mar 10, 2020 Accepting new patients
Eberhardt Vision Center, Inc Optometrist CurrentSince Mar 10, 2020 Accepting new patients
Aeg Washington Professional PC Optometrist Past Accepting new patients
Broadway Vision Source PastSince May 17, 2008 Accepting new patients

Locations

411 E Magnolia St
Bellingham, WA 98225
Phone (360) 647-2020

1427 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 424-0553

Organizations & group practices 5

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1790817559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E MAGNOLIA ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254510",
            "telephone_number": "360-647-2020",
            "fax_number": "360-752-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E MAGNOLIA ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254510",
            "telephone_number": "360-647-2020",
            "fax_number": "360-752-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECLAIRE",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3024",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.