National Provider Identifier Database

EYE CARE SPECIALISTS PS
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.


Contact Information

EYE CARE SPECIALISTS PS
500 PORT DR
CLARKSTON, WA99403-1835
Phone: 509-758-8811
Fax: 509-751-1188
Website:
Specialty Taxonomy Code
* Ophthalmology 207W00000X
Contact Lens Fitter 156FC0801X
Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for EYE CARE SPECIALISTS PS

NPI Number 1972514917
Legal business name
LBN
EYE CARE SPECIALISTS PS
Authorized official MARK EGGLESTON - (PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 08/11/2006
Last updated 09/20/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: OPD-100067
  • WA License #: 601269693
  • WA License #: MD00014109
  • WA License #: OD00003976
  • ID Medicaid: 805350600
  • WA Medicaid: 7088859
  • Other: 24509 GROUP HEALTH
  • Other: CN6339 RAILROAD MEDICARE
  • Other: 000010006387 REGENCE BLUE SHIELD
  • ID Other: 85977 BLUE CROSS
  • WA Other: 8927759 CRIME VICTIMS
  • WA Other: 0123143 LABOR & IND

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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