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VISION SOURCE WALLA WALLA PLLC
NPI 1245077080
Optometrist in Walla Walla, WA

Active since July 10, 2024
614 E ALDER ST STE 1, WALLA WALLA, WA 99362(509) 527-3937(509) 529-4750 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vision Source Walla Walla Pllc NPPES

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

VISION SOURCE WALLA WALLA PLLC (NPI 1245077080) is a healthcare organization registered as an optometrist in Walla Walla, Washington and active in the NPI registry since July 2024. The organization lists Daniel Wiessner, Owner, as its authorized official.

NPPES Registry Identity

NPI1245077080
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameVISION SOURCE WALLA WALLA PLLC
Location Address614 E ALDER ST STE 1Walla Walla, WA 99362-2073
Mailing Address614 E Alder St Ste 1Walla Walla, WA 99362-2073 · (509) 527-3937 · Fax (509) 529-4750
Phone(509) 527-3937
Fax(509) 529-4750
Organization SubpartNo
Authorized OfficialDaniel WiessnerOwner · (509) 527-3937
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1245077080 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.
614 E ALDER ST STE 1, Walla Walla, WA 99362
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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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Vision Source Walla Walla Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Vision Source Walla Walla PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Daniel Wiessner, O.D.
Optometry
NPI 1770860165
614 E ALDER ST STE 1
Walla Walla, WA 99362
(509) 529-9660
✔ PECOS✔ Accepts Medicare1.1 mi
Harry Wiessner, O.D.
Optometry
NPI 1386637668
614 E ALDER ST SUITE #1
Walla Walla, WA 99362
(509) 527-3937
✔ PECOS✔ Accepts Medicare1.1 mi
Judy Quach, OD
Optometry
NPI 1598301616
2316 EASTGATE ST STE 170
Walla Walla, WA 99362
(509) 529-7371
✔ PECOS✔ Accepts Medicare1.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vision Source Walla Walla PLLC's NPI number?

The NPI number for Vision Source Walla Walla PLLC is 1245077080. It was assigned to this organization in the NPPES registry on July 10, 2024.

Where is Vision Source Walla Walla PLLC located?

Vision Source Walla Walla PLLC is located at 614 E Alder St Ste 1, Walla Walla, WA 99362. The listed phone number is (509) 527-3937.

What is Vision Source Walla Walla PLLC's specialty?

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

Is Vision Source Walla Walla PLLC enrolled in Medicare?

Yes. Vision Source Walla Walla PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vision Source Walla Walla PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Vision Source Walla Walla PLLC. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Vision Source Walla Walla PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Vision Source Walla Walla PLLC 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 Vision Source Walla Walla PLLC was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.