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PASCO VISION CLINIC P S
NPI 1104851690
Optometrist in Pasco, WA

Active since July 12, 2006CLIA 50D1100129 · Waiver
2715 W COURT ST, PASCO, WA 99301(509) 547-8409(509) 547-3751 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 19, 2026, May 13, 2026, Nov 27, 2019 (3 updates tracked since 2019).

About Pasco Vision Clinic P S NPPES

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

PASCO VISION CLINIC P S (NPI 1104851690) is a healthcare organization registered as an optometrist in Pasco, Washington and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists James C Sullivan, President, as its authorized official.

NPPES Registry Identity

NPI1104851690
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePASCO VISION CLINIC P S
Location Address2715 W COURT STPasco, WA 99301-3911
Mailing Address2715 W Court StPasco, WA 99301-3911 · (509) 547-8409 · Fax (509) 547-7875
Phone(509) 547-8409
Fax(509) 547-3751
Organization SubpartNo
Authorized OfficialJames C SullivanPresident · (509) 547-8409
Enumeration DateJuly 12, 2006
Last NPPES UpdateJune 15, 20263 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1104851690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WA · 38
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.
Also ListedClinic/CenterTaxonomy 261Q00000X
2715 W COURT ST, Pasco, WA 99301
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Other Identifiers 7

Medicaid1265729354WA
OtherCK6046WA · Railroad Medicare
Other0056740WA · Dept Of Labor & Industry
Medicaid1568661924WA
Medicaid1104851690WA
Medicaid2300028WA
Medicaid1992802656WA

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 50D1100129

Pasco Vision Clinic Ps · Pasco, WA
Active · expires Apr 4, 2028
CLIA Number50D1100129
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJames C. Sullivan
Laboratory Phone(509) 547-8409
Laboratory LocationPasco Vision Clinic Ps2715 W Court St, Pasco, WA 99301
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. WILLIAM EUGENE SULLIVAN O.D.
Optometrist
2715 W COURT ST
PASCO, WA 99301
Franklin County (509) 547-8409
JAMES CHESTER SULLIVAN O.D.
Optometrist
2715 W COURT ST
PASCO, WA 99301
Franklin County (509) 547-8409

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 Pasco Vision Clinic P S's NPI number?

The NPI number for Pasco Vision Clinic P S is 1104851690. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Pasco Vision Clinic P S located?

Pasco Vision Clinic P S is located at 2715 W Court St, Pasco, WA 99301. The listed phone number is (509) 547-8409.

What is Pasco Vision Clinic P S's specialty?

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

Does Pasco Vision Clinic P S hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1100129) 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 Pasco Vision Clinic P S accept?

Health plans from BlueCross BlueShield of Tennessee and Premera Blue Cross Blue Shield of Alaska list Pasco Vision Clinic P S 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 Pasco Vision Clinic P S was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.