EYES FOR LIFE PS NPI 1023299856

Optometrist in Spokane, WA

NPI 1023299856 Organization Optometrist CLIA Number 50D1106098 CLIA Certificate of Waiver

About EYES FOR LIFE PS

Eyes For Life Ps is a provider established in Spokane, Washington specializing in optometrist. The NPI number of Eyes For Life Ps is 1023299856 and was assigned on November 2007. The practitioner's primary taxonomy code is 152W00000X with license number OD00003911 (WA). The provider is registered as an organization and their NPI record was last updated 7 years ago. Eyes For Life Ps operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Heavin Maier O.d. (Owner)

The CLIA number of Eyes For Life Ps is 50D1106098 registered as a "other practitioner" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Eyes For Life Ps to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1023299856

Provider NameEYES FOR LIFE PS
Provider Location Address3022 E 57TH AVE STE 11 SPOKANE, WA 99223
Provider Mailing Address3022 E 57TH AVE STE 11 SPOKANE, WA 99223
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-20-2007
Last Update Date01-29-2014


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.OD00003911
License StateWA
Taxonomy DescriptionDoctors 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.

Business Address

EYES FOR LIFE PS
3022 E 57TH AVE STE 11
SPOKANE, WA
ZIP 99223
Phone: (509) 448-7300
Fax: (509) 448-7382

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Mailing Address

EYES FOR LIFE PS
3022 E 57TH AVE STE 11
SPOKANE, WA
ZIP 99223
Phone: (509) 448-7300
Fax: (509) 448-7382



Authorized Official

Authorized Official NameDR. HEAVIN MAIER O.D.
Authorized Official TitleOWNER
Authorized Official Phone(509) 448-7300

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1023299856 is:

CLIA Number50D1106098
Facility TypeOTHER PRACTITIONER
Certificate TypeCertificate of Waiver

Group Taxonomy


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

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2029569MEDICAID (05)WA
V01605MEDICARE UPIN (02)WA
5569900001MEDICARE NSC (07)WA
G8851257MEDICARE PIN (08)WA
DC9335MEDICARE OSCAR/CERTIFICATION (06)WA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.