EYE CARE SPECIALISTS OF VANCOUVER, PC (NPI# 1700158110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700158110 |
| Entity Type | Organization |
| Organization Name | EYE CARE SPECIALISTS OF VANCOUVER, PC |
| Practice Address |
505 Ne 87th Ave Suite 100 Vancouver WA 98664-1989 |
| Practice Telephone | 3609046781 |
| Practice Fax Number | 3608593173 |
| Mailing Telephone | 3609046781 |
| Mailing Fax Number | 3608593173 |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2013-07-17 |
| Authorized Official Name | DR. RICHARD A BERNHEIMER JR. (PRESIDENT) |
| Authorized Official Telephone | 3609046781 |
| Authorized Official Credential | M.D., M.H.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2016917 | 05 |
| Street Address |
505 NE 87TH AVE SUITE 100 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-1989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536656 | Janet Mendel-hartvig | Radiology | 505 Ne 87th Ave, Ste Ll50, Vancouver, WA 98664-1989 | 2005-08-23 |
| 1164964938 | Laura Atack | Pharmacist | 505 Ne 87th Ave, Suite 320, Vancouver, WA 98664-1989 | 2016-11-10 |
| 1275075012 | Laura Erlewine | Pharmacist | 505 Ne 87th Ave, Suite 320, Vancouver, WA 98664-1989 | 2016-11-10 |
| 1932560067 | Tina Lynn Louie Peterson | Nurse Anesthetist, Certified Registered | 505 Ne 87th Ave, Suite 46.5, Vancouver, WA 98664-1989 | 2016-03-17 |
| 1073996823 | Grace Deng | Physician Assistant | 505 Ne 87th Ave, Building A Suite 250, Vancouver, WA 98664-1989 | 2015-06-29 |
| 1184023939 | Austin Mckittrick | Genetic Counselor, MS | 505 Ne 87th Ave, Suite 160, Vancouver, WA 98664-1989 | 2014-08-18 |
| 1386058386 | Matthew D Lail | Registered Nurse | 505 Ne 87th Ave, Suite 46.5, Vancouver, WA 98664-1989 | 2014-06-17 |
| 1699026716 | Charles Christopher Daniels | Nurse Anesthetist, Certified Registered | 505 Ne 87th Ave, Suite 46.5, Vancouver, WA 98664-1989 | 2012-09-28 |
| 1942563960 | Shweta Duggirala | Specialist | 505 Ne 87th Ave, Suite 160, Vancouver, WA 98664-1989 | 2012-06-25 |
| 1750679486 | Vanessa A Nitibhon | Genetic Counselor, MS | 505 Ne 87th Ave, Suite 160, Vancouver, WA 98664 | 2011-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033377973 | Matthew J Hauck | Ophthalmology | 2525 Ne 139th St Ste 280, Vancouver, WA 98686 | 2008-05-28 |
| 1760674592 | Stanley Lloyd Crews | Ophthalmology | 12306 Se Mill Plain Blvd, Vancouver, WA 98684-6061 | 2007-08-15 |
| 1013959279 | Emanuel Tanne | Ophthalmology | 6517 Buena Vista Drive, Vancouver, WA 98661 | 2006-06-12 |
| 1801842596 | Brian Ralph Will | Ophthalmology | 8100 Ne Parkway Dr, Suite #125, Vancouver, WA 98662-6742 | 2006-05-25 |
| 1447213004 | Janet I Gordon | Ophthalmology | 7017 Ne Hwy 99, Suite 201, Vancouver, WA 98665 | 2006-04-06 |
| 1619942265 | Theresa L Clayton | Ophthalmology | 3200 Main Street, Vancouver, WA 98663 | 2006-02-17 |
| 1467437509 | Joyce E Choe | Ophthalmology | 2205 Ne 129th St, Vancouver, WA 98686-3252 | 2005-12-13 |
| 1013364165 | Matthew James Benage | Ophthalmology | 2525 Ne 139th St Ste 280, Vancouver, WA 98686-2719 | 2016-05-18 |
| 1942568670 | David Loren Simons | Ophthalmology | 2525 Ne 139th St Ste 280, Vancouver, WA 98686-2719 | 2012-05-01 |
| 1912299256 | Evan A Olson | Ophthalmology | 2525 Ne 139th St, #280, Vancouver, WA 98686-2719 | 2011-05-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.