NPIMap

Organization Active NPI

Washington Eye Care Center PC

Doing business as The Eye Care Team

  • Optometrist
  • Spokane, WA
National Provider Identifier
1871967042
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD 60597195 Issued in WA
Legal business name
WASHINGTON EYE CARE CENTER PC
Doing business as
The Eye Care Team
Practice address
126 N Washington St
Spokane, WA 99201-0223
Phone
(509) 747-6581
NPI assigned
Nov 25, 2015
Last updated
Nov 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Daniel N. Evans, O.D.NPI 1134151293
Title
President
Phone
(509) 747-6581

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 OD 60597195 WA Primary

Addresses

Primary practice location

126 N Washington St
Spokane, WA 99201-0223

Mailing address

2305 Deer Pointe Dr.
Clarkston, WA 99403
Phone (509) 747-6581

Other identifiers 1

IdentifierTypeStateIssuer
807505000MedicaidID

Other names 1

  • The Eye Care Team Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151230001398 WA Part B Supplier - Clinic/Group Practice 4385946839 Receives reassigned benefits from 3 practitioners
Practice locations: Chewelah, WA; Spokane, WA

National Provider Directory

National Provider Directory
Tax ID family
Washington Eye Care Center PC2 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.

Locations

126 N Washington St
Spokane, WA 99201
Phone (509) 747-6581

126 N Washington St
Ste A
Spokane, WA 99201

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1871967042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 DEER POINTE DR.",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "99403",
            "telephone_number": "509-747-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N WASHINGTON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010223",
            "telephone_number": "509-747-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON EYE CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-747-6581",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD 60597195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807505000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Care Team",
            "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 Nov 25, 2015; 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.