Active NPI
Paradocs, Inc. PS
- Optometrist
- Walla Walla, WA
National Provider Identifier
1891999173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00001914
- Legal business name
- PARADOCS, INC. PS
- Practice address
- 1711 Dalles Military Rd
Walla Walla, WA 99362-8028 - Phone
- (509) 529-1153
- Fax
- (509) 529-8812
- NPI assigned
- Jun 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rosanne F Schneller, O.D.
- Title
- Owner
- Phone
- (509) 529-1153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00001914 | WA | Primary |
Addresses
Primary practice location
1711 Dalles Military Rd
Walla Walla, WA 99362-8028
Mailing address
1711 Dalles Military Rd
Walla Walla, WA 99362-8028
Phone (509) 529-1153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017887 | Medicaid | WA |
Other names 1
- Blue Mountain Vision Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040305000501 | WA | Part B Supplier - Clinic/Group Practice | 7810885571 | Practice locations: Walla Walla, WA |
National Provider Directory
National Provider DirectoryLocations
614 E Alder St
Ste 1
Walla Walla, WA 99362
Phone (509) 527-3937
1711 Dalles Military Rd
Walla Walla, WA 99362
Phone (509) 529-1153
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Walla Walla, WA
- NPI 1558354704
-
- Optometrist
- Walla Walla, WA
- NPI 1770860165
-
- Optometrist
- Walla Walla, WA
- NPI 1386637668
-
- Optometrist
- Denver, CO
- NPI 1194245043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361923200000",
"number": "1891999173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 DALLES MILITARY RD",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993628028",
"telephone_number": "509-529-1153",
"fax_number": "509-529-8812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 DALLES MILITARY RD",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993628028",
"telephone_number": "509-529-1153",
"fax_number": "509-529-8812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADOCS, INC. PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-12",
"last_updated": "2013-02-27",
"status": "A",
"authorized_official_last_name": "SCHNELLER",
"authorized_official_first_name": "ROSANNE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-529-1153",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "OD00001914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2017887",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Mountain Vision Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.