THREE RIVERS EYE CARE, PS
NPI 1104094143
Optometrist in Kelso, WA

Q: What is Three Rivers Eye Care, Ps's NPI number?

The NPI number for Three Rivers Eye Care, Ps is 1104094143. It was assigned to this organization in the NPPES registry on February 12, 2008.

Q: What is Three Rivers Eye Care, Ps's specialty?

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

Active since February 12, 2008CLIA 50D2028368 · Waiver

209 WEST MAIN ST., SUITE 100, KELSO, WA 98626(360) 414-8000(360) 414-1100 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Three Rivers Eye Care, Ps NPPES

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

THREE RIVERS EYE CARE, PS (NPI 1104094143) is a healthcare organization registered as an optometrist in Kelso, Washington and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Edward Laulainen, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1104094143

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameTHREE RIVERS EYE CARE, PS

Location Address209 WEST MAIN ST., SUITE 100Kelso, WA 98626-4456

Mailing AddressPo Box 89Kelso, WA 98626-0102 · (360) 414-8000 · Fax (360) 414-1100

Phone(360) 414-8000

Fax(360) 414-1100

Organization SubpartNo

Authorized OfficialEdward LaulainenOptometrist · (360) 414-8000

Enumeration DateFebruary 12, 2008

Last NPPES UpdateJune 13, 2023

NPPES CertifiedJune 13, 2023

✔ NPI 1104094143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

209 WEST MAIN ST., Kelso, WA 98626

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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 50D2028368

Three Rivers Eye Care · Kelso, WA

Active · expires Apr 4, 2028

CLIA Number50D2028368

Laboratory TypePhysician Office

Certificate Effective DateMarch 20, 2012

Certificate Expiration DateApril 4, 2028

Laboratory DirectorEdward W. Lualainen

Laboratory Phone(360) 414-8000

Laboratory LocationThree Rivers Eye Care209 W Main St Ste 100, Kelso, WA 98626

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

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

DR. EDWARD WILLIAM LAULAINEN O. D.

Optometrist

209 WEST MAIN ST., SUITE 100
KELSO, WA 98626

Cowlitz County (360) 414-8000

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 Three Rivers Eye Care, Ps's NPI number?

The NPI number for Three Rivers Eye Care, Ps is 1104094143. It was assigned to this organization in the NPPES registry on February 12, 2008.

Where is Three Rivers Eye Care, Ps located?

Three Rivers Eye Care, Ps is located at 209 West Main St. Suite 100, Kelso, WA 98626. The listed phone number is (360) 414-8000.

What is Three Rivers Eye Care, Ps's specialty?

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

Does Three Rivers Eye Care, Ps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2028368) 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 Three Rivers Eye Care, Ps accept?

Health plans from BlueCross BlueShield of Tennessee and Premera Blue Cross Blue Shield of Alaska list Three Rivers Eye Care, 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 Three Rivers Eye Care, Ps was last updated on June 13, 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.