1. Home
  2. Directory
  3. Washington
  4. Walla Walla
  5. Ophthalmology
  6. NPI Profile

LIFESTYLE EYE CENTER
NPI 1255631016
Ophthalmology in Walla Walla, WA

Active since October 27, 2010CLIA 50D2125871 · Waiver
1610 PENNY LN, WALLA WALLA, WA 99362(509) 540-3937(509) 540-3938 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifestyle Eye Center NPPES

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

LIFESTYLE EYE CENTER (NPI 1255631016) is a healthcare organization registered as an ophthalmology in Walla Walla, Washington and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains a secondary practice location in Hermiston, and lists Benjamin M Higginbotham, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1255631016
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameBLUE MOUNTAIN EYE PLLC
Location Address1610 PENNY LNWalla Walla, WA 99362-4477
Mailing AddressPo Box OWalla Walla, WA 99362-0212
Phone(509) 540-3937
Fax(509) 540-3938
Organization SubpartNo
Authorized OfficialBenjamin M HigginbothamPractice Administrator · (509) 540-3937
Enumeration DateOctober 27, 2010
Last NPPES UpdateJanuary 22, 2019
✔ NPI 1255631016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
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.
Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X
Also ListedOphthalmology · Uveitis and Ocular Inflammatory DiseaseTaxonomy 207WX0108X
Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X
1610 PENNY LN, Walla Walla, WA 99362
Open in Google Maps ↗

Other Names 1

Doing Business AsLifestyle Eye Center

Secondary Practice Location 1

Location 11070 W Elm Ave Ste AHermiston, OR 97838-2711 · Phone (541) 656-2211 · Fax (541) 656-2233

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and more.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 50D2125871

Lifestyle Eye Center · Walla Walla, WA
Active · expires Apr 4, 2028
CLIA Number50D2125871
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2017
Certificate Expiration DateApril 4, 2028
Laboratory DirectorArthur Giebel
Laboratory Phone(509) 540-3937
Laboratory LocationLifestyle Eye Center1610 Penny Ln, Walla Walla, WA 99362
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 5

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

DR. ARTHUR W GIEBEL MD
Ophthalmology
1610 PENNY LN
WALLA WALLA, WA 99362
Walla Walla County (509) 540-3937
DR. TARA ELIZABETH EVANGER-DALKE O.D.
Optometrist
1610 PENNY LN
WALLA WALLA, WA 99362
Walla Walla County (509) 540-3937
JAMIE M COLEMAN MD
Eyewear Supplier
1610 PENNY LN
WALLA WALLA, WA 99362
Walla Walla County (509) 529-3160
DR. JAMIE M COLEMAN MD
Ophthalmology
1610 PENNY LN
WALLA WALLA, WA 99362
Walla Walla County (509) 529-3160
DR. JONATHAN D HALEY OD
Optometrist
1610 PENNY LN
WALLA WALLA, WA 99362
Walla Walla County (509) 540-3937

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 Blue Mountain Eye PLLC's NPI number?

The NPI number for Blue Mountain Eye PLLC is 1255631016. It was assigned to this organization in the NPPES registry on October 27, 2010. The provider is doing business as Lifestyle Eye Center.

Where is Blue Mountain Eye PLLC located?

Blue Mountain Eye PLLC is located at 1610 Penny Ln, Walla Walla, WA 99362. The listed phone number is (509) 540-3937.

What is Blue Mountain Eye PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Blue Mountain Eye PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2125871) 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 Blue Mountain Eye PLLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Blue Mountain Eye 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 Blue Mountain Eye PLLC was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.