PASCO VISION CLINIC P S
NPI 1104851690
Optometrist in Pasco, WA
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
Specialties & Licenses 2
Other Identifiers 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pasco Vision Clinic P S is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Pasco Vision Clinic P S, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, WAFrequently 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.
Is Pasco Vision Clinic P S enrolled in Medicare?
Yes. Pasco Vision Clinic P S is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pasco Vision Clinic P S?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Pasco Vision Clinic P S. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer 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 4 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.
# Pasco Vision Clinic P S · NPI 1104851690
Optometrist organization in Pasco, Washington. Organization record, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1104851690 (Entity type: Organization)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** James Sullivan, PRESIDENT
## Practice location
- **Address:** 2715 W COURT ST, Pasco, WA 99301-3911
- **Phone:** (509) 547-8409 · **Fax:** (509) 547-3751
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2026
- **Other identifiers:** Medicaid 1265729354 (WA); Other CK6046 (WA); Other 0056740 (WA); and 4 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104851690) · Data from the CMS NPPES public registry.