Columbia Crest Eye Care Inc PS

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

COLUMBIA CREST EYE CARE INC PS

Practice address

7301 W Deschutes Ave Ste B
Kennewick, WA 99336-7799

Phone

(509) 735-2020

Fax

(509) 783-2135

NPI assigned

Jul 17, 2007

Organization subpart

Yes

Parent organization

COLUMBIA CREST EYE CAREAs reported in NPPES

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

Authorized official

Name

Mr. Kenneth C Depew, OD

Title

Owner

Phone

(509) 735-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

Columbia Crest Eye Care Inc

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claude Kenneth Depew, O.D.

  • Optometrist
  • Kennewick, WA
  • NPI 1154371037
  Medicare reassignment NPD
• Donald A Travis, OD

  • Optometrist
  • Kennewick, WA
  • NPI 1881694941
  Medicare reassignment NPD
• Michelle Darnell

  • Optometrist
  • Liberty Lake, WA
  • NPI 1417302258
  NPD

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932308012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 W DESCHUTES AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367799",
            "telephone_number": "509-735-2020",
            "fax_number": "509-783-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W DESCHUTES AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367799",
            "telephone_number": "509-735-2020",
            "fax_number": "509-783-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CREST EYE CARE INC PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA CREST EYE CARE",
        "enumeration_date": "2007-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEPEW",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-735-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074706",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029155",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbia Basin Prosthetics & Orthotics, Inc.
• Columbia Basin Psychiatric Solutions PLLC
• Columbia Birth Center
• Columbia Chiropractic LLC
• Columbia Crest Eye Care
• Columbia Industries
• Columbia Physical Therapy Inc PS
• Columbia Rehab and Pain Inc
• Columbia Rheumatology
• Columbia Shores Comprehensive Obstetrics and Gynecology, PLLC

• Optometrist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.