NPIMap

Organization Active NPI

Cantley Vision Inc PS

Doing business as Columbia Point Vision Clinic

  • Optometrist
  • Richland, WA
National Provider Identifier
1811109671
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
602267101 Issued in WA
Legal business name
CANTLEY VISION INC PS
Doing business as
Columbia Point Vision Clinic
Practice address
112 Columbia Point Dr
Suite 102
Richland, WA 99352-4390
Phone
(509) 943-6565
Fax
(509) 946-6416
NPI assigned
May 4, 2007
Last updated
Dec 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Dr. Royce K Barney, ODNPI 1487918918
Title
Owner
Phone
(509) 943-6565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 602267101 WA Primary

Addresses

Primary practice location

112 Columbia Point Dr
Suite 102
Richland, WA 99352-4390

Mailing address

112 Columbia Point Dr
Suite 102
Richland, WA 99352-4390
Phone (509) 943-6565

Other identifiers 1

IdentifierTypeStateIssuer
2028322MedicaidWA

Other names 1

  • Columbia Point Vision Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405001686 WA Part B Supplier - Clinic/Group Practice 9638162738 Receives reassigned benefits from 8 practitioners
Practice locations: Kennewick, WA; Richland, WA

National Provider Directory

National Provider Directory

Locations

8503 W Clearwater Ave
Ste A
Kennewick, WA 99336
Phone (509) 735-2050

112 Columbia Point Dr
Richland, WA 99352
Phone (509) 943-6565

3200 Duportail St
Ste 101
Richland, WA 99352
Phone (509) 943-6565

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1811109671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA POINT DR",
            "address_2": "SUITE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524390",
            "telephone_number": "509-943-6565",
            "fax_number": "509-946-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA POINT DR",
            "address_2": "SUITE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524390",
            "telephone_number": "509-943-6565",
            "fax_number": "509-946-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTLEY VISION INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "BARNEY",
        "authorized_official_first_name": "ROYCE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-943-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "602267101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028322",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Point Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.