Nathan James Biancardi, OD
Individual provider Active NPI Optometrist · Deer Park, WA
NPI 1972160976 · NPPES record last updated Jun 20, 2022
Key facts
- NPI
- 1972160976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OD60964013 (WA)
- Practice address
- 26 W H St
Deer Park, WA 99006-7167 - Phone
- (509) 276-6932
- NPI assigned
- May 24, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Multicare Health System
Practice addresses (Care Compare)
300 E 5TH Ave
Spokane, WA 99202-1334
311 S L St
Tacoma, WA 98405-3720
400 E 5TH Ave
Spokane, WA 99202-1334
Phone (509) 838-2531
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190711000895 | WA | Practitioner - Optometry | 2668707720 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Washington Eyes, LLC | Optometrist | Current |
Accepting new patients |
| Biancardi Eyes, LLC | Optometrist | Current | Accepting new patients |
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Rockwood Clinic PS | Optometrist | Past | Accepting new patients |
| Multicare Health System | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
8801 N Indian Trail Rd
Ste I
Spokane, WA 99208
Phone (509) 465-4799
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Interoperability endpoints
- nbiancardi764291@direct.multicare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD60964013 | WA | Yes |
Addresses
Primary practice location
26 W H St
Deer Park, WA 99006-7167
Mailing address
26 W H St
Deer Park, WA 99006-7167
Phone (509) 276-6932
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2135284 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Direct@DeerParkVisionSourceDeerParkWA.CompulinkDirect.com | Direct | Future Vision Partners, Inc |
Other providers in Deer Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.