Organization Active NPI

Panorama Vision Care, Inc

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1992995112
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00001020 Issued in WA
Legal business name
PANORAMA VISION CARE, INC
Practice address
221B NE 104TH Ave
Suite 109
Vancouver, WA 98664-4505
Phone
(360) 885-9800
Fax
(360) 885-7989
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Dr. Clyde B. Slavin, ODNPI 1780648055
Title
Owner / Optometrist
Phone
(360) 885-9800

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 OD00001020 WA Primary

Addresses

Primary practice location

221B NE 104TH Ave
Suite 109
Vancouver, WA 98664-4505

Mailing address

519 NW Wildwood Dr
Vancouver, WA 98665-7545
Phone (360) 885-9800

Other identifiers 1

IdentifierTypeStateIssuer
2024354MedicaidWA

National Provider Directory

National Provider Directory

Locations

221B NE 104th Ave
Ste 109
Vancouver, WA 98664
Phone (360) 885-9800

Practitioners & affiliated clinicians

Practitioners 1

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1992995112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 NW WILDWOOD DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986657545",
            "telephone_number": "360-885-9800",
            "fax_number": "360-885-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221B NE 104TH AVE",
            "address_2": "SUITE 109",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644505",
            "telephone_number": "360-885-9800",
            "fax_number": "360-885-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANORAMA VISION CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "SLAVIN",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER / OPTOMETRIST",
        "authorized_official_telephone_number": "360-885-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024354",
            "state": "WA"
        }
    ],
    "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 Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.