PRECISION EYE CARE PS NPI 1285804617

Preferred Provider Organization in Vancouver, WA

NPI 1285804617 Organization Preferred Provider Organization CLIA Number 50D2046504 CLIA Certificate of Waiver

About PRECISION EYE CARE PS

Precision Eye Care Ps is a provider established in Vancouver, Washington specializing in preferred provider organization. The NPI number of Precision Eye Care Ps is 1285804617 and was assigned on February 2008. The practitioner's primary taxonomy code is 305R00000X with license number 601840864 (WA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Judy Chan Od (Optometric Physician)

The CLIA number of Precision Eye Care Ps is 50D2046504 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Precision Eye Care Ps to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1285804617

Provider NamePRECISION EYE CARE PS
Provider Location Address8400 NE VANCOUVER MALL LOOP SUITE 110 VANCOUVER, WA 98662
Provider Mailing Address8400 NE VANCOUVER MALL LOOP SUITE 110 VANCOUVER, WA 98662
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-29-2008
Last Update Date05-11-2012


Primary Taxonomy

Taxonomy Code305R00000X
ClassificationPreferred Provider Organization
TypeManaged Care Organizations
License No.601840864
License StateWA
Taxonomy DescriptionA group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Business Address

PRECISION EYE CARE PS
8400 NE VANCOUVER MALL LOOP
SUITE 110
VANCOUVER, WA
ZIP 98662
Phone: (360) 254-5855
Fax: (360) 885-0661

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Mailing Address

PRECISION EYE CARE PS
8400 NE VANCOUVER MALL LOOP
SUITE 110
VANCOUVER, WA
ZIP 98662
Phone: (360) 254-5855
Fax: (360) 885-0661



Authorized Official

Authorized Official NameDR. JUDY CHAN OD
Authorized Official TitleOPTOMETRIC PHYSICIAN
Authorized Official Phone(360) 254-5855

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1285804617 is:

CLIA Number50D2046504
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0788540001MEDICARE NSC (07)WA
U34023MEDICARE UPIN (02)WA
GAB33422MEDICARE PIN (08)WA

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801899117DR. JUDY CHAN O.D.
Individual
Optometrist8400 NE VANCOUVER MALL LOOP SUITE 110
VANCOUVER, WA 98662
(360) 254-5855
1528168168DR. LEAH L. RAY O.D.
Individual
Optometrist8400 NE VANCOUVER MALL LOOP SUITE 110
VANCOUVER, WA 98662
(360) 254-5855
1790230506 ELIZABETH ANN MCELHINNEY DMD
Individual
Dentist (General Practice)8400 NE VANCOUVER MALL LOOP
VANCOUVER, WA 98662
(360) 219-9616
1407379639 TAE HYUNG KANG DMD
Individual
Dentist8400 NE VANCOUVER MALL LOOP
VANCOUVER, WA 98662
(360) 450-6639

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.