Individual provider Active NPI

Vanessa Ramirez-Marin

  • Optometrist
  • Yakima, WA
National Provider Identifier
1932955762
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61567058 Issued in WA
Practice address
110 S 72ND Ave Ste 120
Yakima, WA 98908-4600
Phone
(509) 576-4292
NPI assigned
Apr 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61567058 WA Primary

Addresses

Primary practice location

110 S 72ND Ave Ste 120
Yakima, WA 98908-4600

Mailing address

1515 S 5TH Ave
Yakima, WA 98902-5923

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
I20241010002594 WA Practitioner - Optometry 8224560693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shawn M Kurtz OD PLLCGroup PAC ID 7214922756, 2 clinicians

Practice addresses (Care Compare)

110 S 72ND Ave
Suite 120
Yakima, WA 98908-4600
Phone (509) 576-4292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61567058WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shawn M Kurtz OD PLLC Optometrist CurrentSince Sep 26, 2024 Accepting new patients

Locations

110 S 72nd Ave
Ste 120
Yakima, WA 98908
Phone (509) 576-4292

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": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1932955762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S 5TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989025923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 72ND AVE STE 120",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989084600",
            "telephone_number": "509-576-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ-MARIN",
        "first_name": "VANESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61567058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.