Individual provider Active NPI

Nathan James Biancardi, OD

  • Optometrist
  • Deer Park, WA
National Provider Identifier
1972160976
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60964013 Issued in WA
Practice address
26 W H St
Deer Park, WA 99006-7167
Phone
(509) 276-6932
NPI assigned
May 24, 2019
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60964013 WA Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Direct@DeerParkVisionSourceDeerParkWA.CompulinkDirect.com Direct Future Vision Partners, Inc

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
I20190711000895 WA Practitioner - Optometry 2668707720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Eyes, LLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Multicare Health System CurrentSince Mar 21, 2024 Accepting new patients
Biancardi Eyes, LLC Optometrist Current Accepting new patients
Multicare Health System CurrentSince Mar 21, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System Past Accepting new patients
Rockwood Clinic PS Optometrist 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

  • Direct secure messaging: nbiancardi764291@direct.multicare.org

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1972160976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W H ST",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990067167",
            "telephone_number": "509-276-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W H ST",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990067167",
            "telephone_number": "509-276-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCARDI",
        "first_name": "NATHAN",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60964013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Direct@DeerParkVisionSourceDeerParkWA.CompulinkDirect.com",
            "affiliation": "Y",
            "endpointDescription": "Deer Park Vision Source Nate",
            "affiliationName": "Future Vision Partners, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26 W H St",
            "address_2": "Suite A",
            "city": "Deer Park",
            "state": "WA",
            "country_code": "US",
            "postal_code": "990067167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deer Park, WA

Sources for this page

Verify at the official NPI Registry.