Organization Active NPI

Nielson Eye Care

  • Optometrist
  • Walla Walla, WA
National Provider Identifier
1922366327
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3519WA Issued in WA
Legal business name
NIELSON EYE CARE
Practice address
2316 Eastgate St Ste 170
Walla Walla, WA 99362-1576
Phone
(509) 529-7371
Fax
(509) 529-7379
NPI assigned
Apr 24, 2012
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Bradley Nielson, ODNPI 1891708616
Title
Owner/Pres
Phone
(509) 529-7371

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 3519WA WA Primary

Addresses

Primary practice location

2316 Eastgate St Ste 170
Walla Walla, WA 99362-1576

Mailing address

2316 Eastgate St Ste 170
Walla Walla, WA 99362-1576
Phone (509) 529-7371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120723000892 WA Part B Supplier - Clinic/Group Practice 3577729367 Receives reassigned benefits from 2 practitioners
Practice locations: Walla Walla, WA
O20130412000146 WA DME Supplier - Physician - Optometrist 3577729367 Practice locations: Walla Walla, WA

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Nielson Eye Care2316 Eastgate St, Walla Walla, WA 99362-1576(509) 529-7371 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Apr 26, 2012

National Provider Directory

National Provider Directory

Locations

2316 Eastgate St
Ste 170
Walla Walla, WA 99362
Phone (509) 522-2791

Practitioners & affiliated clinicians

Practitioners 2

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": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1922366327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 EASTGATE ST STE 170",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621576",
            "telephone_number": "509-529-7371",
            "fax_number": "509-529-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 EASTGATE ST STE 170",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621576",
            "telephone_number": "509-529-7371",
            "fax_number": "509-529-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIELSON EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "509-529-7371",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3519WA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 18, 2025; 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.