Tara Lynn Pinske Backus, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

60276428 Issued in WA

Practice address

19171 SE Mill Plain Blvd
Ste 101
Vancouver, WA 98683-9321

Phone

(360) 254-1026

Fax

(360) 256-2318

NPI assigned

Jul 11, 2005

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Invision Eye Care PLLC

  • Optometrist
  • Vancouver, WA
  • NPI 1134494198
  Medicare reassignment NPD Authorized official
• Bridgeport Eye Physicians, LLC

  • Ophthalmology Physician
  • Sherwood, OR
  • NPI 1215135066

  Optometrist

  NPD (past)
• Murray Scholls Optique Inc

  dba Murray Scholls Vision Center

  • Optometrist
  • Beaverton, OR
  • NPI 1598751802
  NPD (past)
• Retina Consultants, LLP

  dba Retina Consultants, LLC

  • Ophthalmology Physician
  • Salem, OR
  • NPI 1528181674
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1821096116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19171 SE MILL PLAIN BLVD STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839321",
            "telephone_number": "360-254-1026",
            "fax_number": "360-256-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19171 SE MILL PLAIN BLVD",
            "address_2": "STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839321",
            "telephone_number": "360-254-1026",
            "fax_number": "360-256-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSKE BACKUS",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2807T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60276428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182842",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Len Pinkowski, LMT
• James Pinkston
• Pinnacle Women's Therapeutics
• Allena Pinney
• Charles Tannert Pinney Jr., M.D.
• Richard L Pinson, MSW,PHD,LCSW
• Ashley Nicole Pinto, LMT
• Rosemary Irene Piper, PHD
• Pipernp Psychiatry Services
• Bryan Pippin

• 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 Sep 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; Order and Referring.
• 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.