Individual provider Active NPI

Helaina Yvonne Stanyer Boulieris, O.D.

  • Optometrist
  • Spokane Valley, WA
National Provider Identifier
1902930126
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1874 Issued in WA
Practice address
1103 N Pines Rd
Spokane Valley, WA 99206-4936
Phone
(509) 926-6800
Fax
(509) 926-4041
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1874 WA Primary
Vision Therapy Optometrist 152WV0400X 1874 WA

Addresses

Primary practice location

1103 N Pines Rd
Spokane Valley, WA 99206-4936

Mailing address

1103 N Pines Rd
Spokane Valley, WA 99206-4936
Phone (509) 926-6800

Other identifiers 2

IdentifierTypeStateIssuer
1021852MedicaidWA
2009249MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000616 WA Practitioner - Optometry 9638284284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates, PLLCGroup PAC ID 7315143963, 2 clinicians

Practice addresses (Care Compare)

1103 N Pines Rd
Spokane Valley, WA 99206-4936
Phone (509) 926-6800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1874WAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates, PLLC Optometrist CurrentSince Dec 17, 2007 Accepting new patients

Locations

1406 N Pines Rd
Spokane Valley, WA 99206
Phone (509) 926-6800

1103 N Pines Rd
Spokane Valley, WA 99206
Phone (509) 926-6800

Interoperability endpoints

  • Direct secure messaging: helaina.boulieris@direct.revolutionehr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1902930126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N PINES RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064936",
            "telephone_number": "509-926-6800",
            "fax_number": "509-926-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N PINES RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064936",
            "telephone_number": "509-926-6800",
            "fax_number": "509-926-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULIERIS",
        "first_name": "HELAINA",
        "middle_name": "YVONNE STANYER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1874",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "WA",
            "license": "1874",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021852",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009249",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.