Mednic PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001999 Issued in WA

Legal business name

MEDNIC PC

Doing business as

Downtown Vision Centre

Practice address

912 Main St
Vancouver, WA 98660-3136

Phone

(360) 694-6541

Fax

(360) 696-2578

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Linda R Medeski-Nicacio, O.D.NPI 1053358861

Title

President

Phone

(360) 694-6541

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Downtown Vision Centre Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mednic, PC

  dba Camas Vision Centre

  • Optometrist
  • Camas, WA
  • NPI 1588822548

  O20040405000911

  Same enrollment

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 3

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

• Linda R Medeski-Nicacio, OD

  • Optometrist
  • Vancouver, WA
  • NPI 1053358861
  Medicare reassignment Care Compare group NPD Authorized official
• Christy Leigh Alfano, OD

  • Optometrist
  • Vancouver, WA
  • NPI 1326662115
  Medicare reassignment Care Compare group NPD
• Robert A Nicacio, OD

  • Optometrist
  • Camas, WA
  • NPI 1841239720
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1831308790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603136",
            "telephone_number": "360-694-6541",
            "fax_number": "360-696-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603136",
            "telephone_number": "360-694-6541",
            "fax_number": "360-696-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDNIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "MEDESKI-NICACIO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-694-6541",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001999",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001808",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023141",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023133",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Vision Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Anthony Medina
• Natasha Marie Medina, MED., LMHC
• Paige Alayne Medina, MSN, RN, PMHNP-BC
• Trisha Rochelle Medina
• Medmarie & Family Homecare LLC
• Zhanna Medvedev
• Nathan Meeds
• Lacey Meehan, LMFT
• Will Meek, PH.D.
• Thomas W Meeks III, M.D.

• 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 24, 2013; 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.