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VISION SOURCE OF WENATCHEE, PS
NPI 1023175163
Optometrist in Wenatchee, WA

Active since January 01, 2007CLIA 50D2079337 · Waiver
1190 5TH ST, WENATCHEE, WA 98801(509) 662-9671(509) 662-9672 Get Directions Write a Review

NPPES record last updated: March 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vision Source Of Wenatchee, Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISION SOURCE OF WENATCHEE, PS (NPI 1023175163) is a healthcare organization registered as an optometrist in Wenatchee, Washington and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Nicholas Allen Donaghey, Vice President, as its authorized official.

NPPES Registry Identity

NPI1023175163
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameVISION SOURCE OF WENATCHEE, PS
Location Address1190 5TH STWenatchee, WA 98801-1825
Mailing Address1190 5th StWenatchee, WA 98801-1825 · (509) 662-9671 · Fax (509) 662-9672
Phone(509) 662-9671
Fax(509) 662-9672
Organization SubpartNo
Authorized OfficialNicholas Allen DonagheyVice President · (509) 662-9671
Enumeration DateJanuary 1, 2007
Last NPPES UpdateMarch 25, 2023
NPPES CertifiedMarch 25, 2023
✔ NPI 1023175163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WA · 1494
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1190 5TH ST, Wenatchee, WA 98801
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Other Identifiers 1

Medicaid2030914WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2079337

Vision Source Of Wenatchee · Wenatchee, WA
Active · expires Apr 4, 2028
CLIA Number50D2079337
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJason Barnes
Laboratory Phone(509) 662-9671
Laboratory LocationVision Source Of Wenatchee1190 5th St, Wenatchee, WA 98801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS ALLEN DONAGHEY O.D.
Optometrist
1190 5TH ST
WENATCHEE, WA 98801
Chelan County (509) 662-9671
DR. JASON D BARNES O.D.
Optometrist
1190 5TH ST
WENATCHEE, WA 98801
Chelan County (509) 662-9671
SARAH KRAUSS OD
Optometrist
1190 5TH ST
WENATCHEE, WA 98801
Chelan County (509) 662-9671
DR. STEVEN D KOCH O.D.
Optometrist
1190 5TH ST
WENATCHEE, WA 98801
Chelan County (509) 662-9671
DR. JENNIFER LARIE RENARD OD
Optometrist
1190 5TH ST
WENATCHEE, WA 98801
Chelan County (509) 622-9671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vision Source Of Wenatchee, Ps's NPI number?

The NPI number for Vision Source Of Wenatchee, Ps is 1023175163. It was assigned to this organization in the NPPES registry on January 1, 2007.

Where is Vision Source Of Wenatchee, Ps located?

Vision Source Of Wenatchee, Ps is located at 1190 5th St, Wenatchee, WA 98801. The listed phone number is (509) 662-9671.

What is Vision Source Of Wenatchee, Ps's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Vision Source Of Wenatchee, Ps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2079337) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vision Source Of Wenatchee, Ps accept?

Health plans from BlueCross BlueShield of Tennessee and Premera Blue Cross Blue Shield of Alaska list Vision Source Of Wenatchee, Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vision Source Of Wenatchee, Ps was last updated on March 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.