East Vancouver Eye Clinic P.S.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003402 Issued in WA

Legal business name

EAST VANCOUVER EYE CLINIC P.S.

Practice address

6680 NE 159TH Ave.
Suite # 102
Vancouver, WA 98682-8830

Phone

(360) 449-3937

Fax

(360) 449-3094

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Alan Cole, O.D.NPI 1437231461

Title

Owner

Phone

(360) 449-3937

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Alan Cole, OD

  • Optometrist
  • Vancouver, WA
  • NPI 1437231461
  Medicare reassignment Care Compare group NPD Authorized official
• Tracy Elizabeth Dodd, O.D.

  • Optometrist
  • Vancouver, WA
  • NPI 1972621886
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1790907491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 NE 159TH AVE.",
            "address_2": "SUITE # 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986828830",
            "telephone_number": "360-449-3937",
            "fax_number": "360-449-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6680 NE 159TH AVE.",
            "address_2": "SUITE # 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986828830",
            "telephone_number": "360-449-3937",
            "fax_number": "360-449-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VANCOUVER EYE CLINIC P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-449-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010430",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023828",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Early Choice Pediatric Therapy, PLLC
• Cynthia Marie Easley, RD, LD, CDE
• East County Operations, LLC
• East Vancouver Acupuncture, PLLC
• East Vancouver Chiropractic & Massage Therapy
• Darlena Marie Easterly, RN
• Edward James Easton III, MD
• Shelley Easton
• Joshua Eaton
• Thomas Harry Eaton, AAC

• 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 Jun 15, 2018; 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.