Eye Consultants, P.S.

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

MD00049255 Issued in WA

Legal business name

EYE CONSULTANTS, P.S.

Practice address

9911 N Nevada St Ste B
Spokane, WA 99218-1298

Phone

(509) 484-5710

Fax

(509) 487-1000

NPI assigned

Apr 25, 2008

Last updated

Apr 10, 2019By 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

Gary Lee Fillmore, M.D.NPI 1265413769

Title

President

Phone

(509) 484-5710

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Eye Consultants, P.S.

  • Ambulatory Surgical Clinic/Center
  • Spokane Valley, WA
  • NPI 1841087517

  8628143492

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Eye Consultants 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.

• Eye Consultants, P.S.

  • Ambulatory Surgical Clinic/Center
  • Spokane Valley, WA
  • NPI 1841087517
  NPD tax ID

Locations

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.

• Gary Lee Fillmore, M.D.

  • Ophthalmology Physician
  • Spokane, WA
  • NPI 1265413769
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Edward Derzay, OD

  • Optometrist
  • Spokane, WA
  • NPI 1477621191
  Medicare reassignment Care Compare group NPD
• Christian Spencer Draper, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Spokane, WA
  • NPI 1124522735
  Medicare reassignment Care Compare group NPD
• Sara Anne Edmons, OD

  • Optometrist
  • Spokane, WA
  • NPI 1750459475
  Medicare reassignment Care Compare group NPD
• Cory James Jensen, OD

  • Optometrist
  • Spokane, WA
  • NPI 1417516279
  Medicare reassignment Care Compare group NPD
• Jeanine N Stolp, O.D.

  • Optometrist
  • Spokane, WA
  • NPI 1538345699
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1902071392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 N NEVADA ST STE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181298",
            "telephone_number": "509-484-5710",
            "fax_number": "509-487-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 N NEVADA ST STE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181298",
            "telephone_number": "509-484-5710",
            "fax_number": "509-487-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CONSULTANTS, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "FILLMORE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-484-5710",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "WA",
            "license": "MD00049255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8874800",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR AND INDUSTRIES",
            "identifier": "029183",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eye Care Team Inc
• Eye Consultants PS
• Eyemart Express LLC
• Eyes for Life PS
• Eyes N Glass Optiks Inc
• Taylor Marie Eymann
• Mary C Ezenwa, BS, MA

• Ophthalmologic Surgery Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Ophthalmologic Surgery Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.