KETTLE FALLS VISION CLINIC
NPI 1407007016
Optometrist in Kettle Falls, WA

Active since October 02, 2008
W 355 3RD AVENUE, UNIT 2, KETTLE FALLS, WA 99141(509) 738-2191(509) 738-4840 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kettle Falls Vision Clinic NPPES

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

KETTLE FALLS VISION CLINIC (NPI 1407007016) is a healthcare organization registered as an optometrist in Kettle Falls, Washington and active in the NPI registry since October 2008. The organization lists Charles Henry Reeve, Owner, as its authorized official.

NPPES Registry Identity

NPI1407007016
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKETTLE FALLS VISION CLINIC
Location AddressW 355 3RD AVENUE, UNIT 2Kettle Falls, WA 99141-9551
Mailing AddressPo Box 475Kettle Falls, WA 99141-0475 · (509) 738-2191 · Fax (509) 738-4840
Fax(509) 738-4840
Organization SubpartNo
Authorized OfficialCharles Henry ReeveOwner · (509) 738-2191
Enumeration DateOctober 2, 2008
NPI 1407007016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WA · OD00001893
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.
W 355 3RD AVENUE, Kettle Falls, WA 99141

Other Identifiers 1

Medicare NSC0990280001WA

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

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Kettle Falls Vision Clinic carries, from the Medicare DMEPOS supplier directory.

Kettle Falls Vision Clinic

DMEPOS supplier · Kettle Falls, WAOperated by H Theresa Porter

Accepts Medicare assignment

Kettle Falls Vision Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20516555
Medicare Participant SinceJanuary 3, 2013
Supplier Location325 E 3rd Ave Unit BKettle Falls, WA 99141
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Kettle Falls Vision Clinic's NPI number?

The NPI number for Kettle Falls Vision Clinic is 1407007016. It was assigned to this organization in the NPPES registry on October 2, 2008.

Where is Kettle Falls Vision Clinic located?

Kettle Falls Vision Clinic is located at W 355 3rd Avenue Unit 2, Kettle Falls, WA 99141. The listed phone number is (509) 738-2191.

What is Kettle Falls Vision Clinic's specialty?

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

Does Kettle Falls Vision Clinic accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kettle Falls Vision Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Kettle Falls Vision Clinic was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.