WALLA WALLA EYE CENTER
NPI 1083076624
Ophthalmology in Walla Walla, WA

NPI Status: Active since March 23, 2016

Contact Information

299 W TIETAN ST
WALLA WALLA, WA
ZIP 99362
Phone: (509) 525-2100
Fax: (509) 522-0313

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  • Organization
  • Ophthalmology
  • Accepts Insurance
  • CLIA Number: 50D2339203
  • CLIA Cert. Type: Other - DRUG TREATMENT
  • CLIA Exp. Date: 04-04-2028

About WALLA WALLA EYE CENTER

This page provides the complete NPI Profile along with additional information for Walla Walla Eye Center, a provider established in Walla Walla, Washington operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1083076624 assigned on March 2016. The practitioner's primary taxonomy code is 207W00000X with license number MD60142403 (WA). The provider is registered as an organization and their NPI record was last updated 10 years ago. Walla Walla Eye Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Walla Walla Eye Center. The authorized official of this NPI record is Stacie S Keithley (Office Manager)

NPI
1083076624
Provider Legal Name
ANDREW S EDWARDS MD PLLC
Other Organization Name
WALLA WALLA EYE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
299 W TIETAN ST WALLA WALLA, WA 99362
Location Phone
(509) 525-2100
Location Fax
(509) 522-0313
Mailing Address
299 W TIETAN ST WALLA WALLA, WA 99362
Mailing Phone
(509) 525-2100
Mailing Fax
(509) 522-0313
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2016
Last Update Date
04-07-2016
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Ophthalmologists like Walla Walla Eye Center specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD60142403
License State
WA
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STACIE S KEITHLEY

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(509) 525-2100

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 this NPI number is:

CLIA Number
50D2339203
Facility Type
Other - DRUG TREATMENT
Certificate Effective Date
February 25, 2026
Certificate Expiration Date
April 04, 2028
Laboratory Director
MICHAEL HARRIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walla Walla Eye Center 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083076624, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 0 + 7 + 1 + 2 + 6 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1083076624.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Ophthalmology
299 W TIETAN ST
WALLA WALLA, WA 99362
Optometrist
299 W TIETAN ST
WALLA WALLA, WA 99362
Ophthalmology
299 W TIETAN ST
WALLA WALLA, WA 99362
Ophthalmology
299 W TIETAN ST
WALLA WALLA, WA 99362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083076624, enumerated as an "organization" on March 23, 2016.

The provider is located at 299 W TIETAN ST WALLA WALLA, WA 99362 and the phone number is (509) 525-2100.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.