Full Spectrum Eye Care, P.S.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

600570062 Issued in WA

Legal business name

FULL SPECTRUM EYE CARE, P.S.

Doing business as

The Columbia River Eye Surgery Center

Practice address

475 Bradley Blvd
Richland, WA 99352-4419

Phone

(509) 943-2240

Fax

(509) 943-1575

NPI assigned

Nov 2, 2006

Last updated

Jun 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Devin Harrison, MDNPI 1447257266

Title

Owner

Phone

(509) 943-2240

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• The Columbia River Eye Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Full Spectrum Eye Care, P.S.

  dba The Columbia River Eye Center Optical Shop

  • Eyewear Supplier
  • Richland, WA
  • NPI 1144317983

  3375432636

  Same PAC ID
• Full Spectrum Eye Care, PS

  dba The Columbia River Eye Center

  • Ophthalmology Physician
  • Richland, WA
  • NPI 1427134543

  3375432636

  Same PAC ID

Listed as

Columbia River Eye CenterCCN 50C0001210

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Full Spectrum Eye Care PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Full Spectrum Eye Care, P.S.

  dba The Columbia River Eye Center Optical Shop

  • Eyewear Supplier
  • Richland, WA
  • NPI 1144317983
  NPD tax ID

Locations

Practitioners 3

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.

• Devin A Harrison, M.D.

  • Ophthalmology Physician
  • Richland, WA
  • NPI 1447257266
  NPD (past) Authorized official
• Andrew A Chen, MD

  • Ophthalmology Physician
  • Richland, WA
  • NPI 1487761888
  NPD (past)
• Parker Faith

  • Ophthalmology Physician
  • Yakima, WA
  • NPI 1013304328
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1841378056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BRADLEY BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524419",
            "telephone_number": "509-943-2240",
            "fax_number": "509-943-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BRADLEY BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524419",
            "telephone_number": "509-943-2240",
            "fax_number": "509-943-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SPECTRUM EYE CARE, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-943-2240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "600570062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "1518940",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0166993",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7115223",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "26278",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Columbia River Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradley R Friehauf, PHARMACIST
• Jeanette Alice Friehauf, RPH
• Amanda Friese, PA-C
• Terry Ann Frye, MS PT
• Full Spectrum Eye Care, P.S. (The Columbia River Eye Center Optical Shop)
• Full Spectrum Eye Care, PS (The Columbia River Eye Center)
• Christina M Funaro-Pagani, DNP
• Thomas Fuqua, M. ED, BCBA, LBA
• Annaliese Furlong, CP
• Brandon Spencer Furness, O.D.

• Ambulatory Surgical Clinic/Center in Richland, WA
• Providers in Richland, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.