Organization Active NPI

Eyecare Associates of West Richland, LLP

  • Optometrist
  • West Richland, WA
National Provider Identifier
1982919015
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003817 Issued in WA
Legal business name
EYECARE ASSOCIATES OF WEST RICHLAND, LLP
Practice address
473 S 38TH Ave
West Richland, WA 99353-5166
Phone
(509) 967-1503
Fax
(509) 967-1768
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Dr. Christopher Daniel Johnson, O.D.NPI 1679589832
Title
Partner/Optometrist
Phone
(509) 967-1503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD00003817 WA Primary

Addresses

Primary practice location

473 S 38TH Ave
West Richland, WA 99353-5166

Mailing address

473 S 38TH Ave
West Richland, WA 99353-5166
Phone (509) 967-1503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110310000875 WA Part B Supplier - Clinic/Group Practice 2264614379 Receives reassigned benefits from 2 practitioners
Practice locations: West Richland, WA
O20110815000932 WA DME Supplier - Physician - Ophthalmology 2264614379 Practice locations: West Richland, WA

National Provider Directory

National Provider Directory

Locations

473 S 38th Ave
West Richland, WA 99353
Phone (509) 967-1503

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1982919015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 S 38TH AVE",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993535166",
            "telephone_number": "509-967-1503",
            "fax_number": "509-967-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 S 38TH AVE",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993535166",
            "telephone_number": "509-967-1503",
            "fax_number": "509-967-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE ASSOCIATES OF WEST RICHLAND, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PARTNER/OPTOMETRIST",
        "authorized_official_telephone_number": "509-967-1503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.