Active NPI
Firas Omar Basha, O.D.
- Optometrist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD60376580
- Practice address
- 8101 NE Parkway Dr Ste D2&D4
Vancouver, WA 98662-7911 - Phone
- (360) 314-6900
- Fax
- (360) 433-9180
- NPI assigned
- Sep 26, 2012
- Last updated
- Aug 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3533ATI | OR | |
| Optometrist | 152W00000X | OD60376580 | WA | Primary |
Addresses
Primary practice location
8101 NE Parkway Dr Ste D2&D4
Vancouver, WA 98662-7911
Mailing address
11364 SE 82ND Ave
Suite 402
Happy Valley, OR 97086-7637
Phone (503) 305-5084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
111 E 4TH St
Alton, IL 62002-6206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3533 | OR | MD | Clinical Psychologist |
| 3533ATI | OR | MD | Optometrist |
| OD60376580 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Washington Professional PC | Optometrist | Current | Accepting new patients |
| America's Best Contacts & Eyeglasses | Current | Accepting new patients | |
| Aeg Oregon Professional LLC | Optometrist | Current | Accepting new patients |
| Advanced Eye Care Center, P.S. | Optometrist | Past | Accepting new patients |
| America's Best Contacts & Eyeglasses | Past | Accepting new patients |
Locations
111 E 4th St
Ste 440
Alton, IL 62002
8136 SE Foster Rd
Ste 260
Portland, OR 97206
Phone (503) 546-4460
1900 NE 162nd Ave
Ste D103
Vancouver, WA 98684
Phone (360) 702-8184
8101 NE Parkway Dr
Ste D2
Vancouver, WA 98662
Phone (360) 314-6900
Organizations & group practices 5
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.
-
- Optometrist
- Salem, OR
- NPI 1679253397
-
- Optometrist
- Bellevue, WA
- NPI 1134835176
-
- Optician
- Vancouver, WA
- NPI 1265856934
-
- Optometrist
- Vancouver, WA
- NPI 1013114743
-
- Optician
- Clackamas, OR
- NPI 1306286562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1972854222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11364 SE 82ND AVE",
"address_2": "SUITE 402",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970867637",
"telephone_number": "503-305-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 NE PARKWAY DR STE D2&D4",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986627911",
"telephone_number": "360-314-6900",
"fax_number": "360-433-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASHA",
"first_name": "FIRAS",
"middle_name": "OMAR",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-26",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3533ATI",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD60376580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.