NPIMap

Organization Active NPI

Spokane Eye Clinic PS

  • Ambulatory Surgical Clinic/Center
  • Spokane, WA
National Provider Identifier
1831165331
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASF.FS.60101697 Issued in WA
Legal business name
SPOKANE EYE CLINIC PS
Practice address
427 S Bernard St
Suite 200
Spokane, WA 99204-2509
Phone
(509) 456-8150
Fax
(509) 455-9887
NPI assigned
Feb 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Jennifer Hastie
Title
VP Credentialing and Payer Relation
Phone
(214) 415-9671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X ASF.FS.60101697 WA Primary
Ophthalmologic Surgery Clinic/Center 261QS0132X 600012071 WA

Addresses

Primary practice location

427 S Bernard St
Suite 200
Spokane, WA 99204-2509

Mailing address

427 S Bernard St Ste 200
Spokane, WA 99204-2509
Phone (509) 456-8150

Other identifiers 3

IdentifierTypeStateIssuer
490003446OtherRAILROAD MEDICARE
191562100OtherWAL&I
7086879MedicaidWA

Other names 1

  • Spokane Eye Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000376 WA Part B Supplier - Ambulatory Surgical Center 1759278393 Receives reassigned benefits from 2 practitioners
Practice locations: Spokane, WA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Spokane Eye Clinic Inc PSCCN 50C0001022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D1004921Spokane Eye Surgery Center427 S Bernard St Ste 200, Spokane, WA 99204Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Spokane Eye Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

427 S Bernard St
Fl 2
Spokane, WA 99204

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1831165331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S BERNARD ST STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042509",
            "telephone_number": "509-456-8150",
            "fax_number": "509-455-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S BERNARD ST",
            "address_2": "SUITE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042509",
            "telephone_number": "509-456-8150",
            "fax_number": "509-455-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE EYE CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "HASTIE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP CREDENTIALING AND PAYER RELATION",
        "authorized_official_telephone_number": "214-415-9671"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "ASF.FS.60101697",
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "WA",
            "license": "600012071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490003446",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "191562100",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7086879",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spokane Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.