DAVENPORT VISION CLINIC, INC.
NPI 1447323811
Optometrist in Davenport, WA
About Davenport Vision Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVENPORT VISION CLINIC, INC. (NPI 1447323811) is a healthcare organization registered as an optometrist in Davenport, Washington and active in the NPI registry since November 2006. The organization lists Stacie R Nichols, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
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)
Davenport Vision Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Davenport Vision Clinic, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Davenport Vision Clinic Inc carries, from the Medicare DMEPOS supplier directory.
Davenport Vision Clinic Inc
DMEPOS supplier · Davenport, WAAccepts Medicare assignment
Davenport Vision Clinic Inc 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.
Medicare Product Categories
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 Davenport Vision Clinic, Inc.'s NPI number?
The NPI number for Davenport Vision Clinic, Inc. is 1447323811. It was assigned to this organization in the NPPES registry on November 15, 2006.
Where is Davenport Vision Clinic, Inc. located?
Davenport Vision Clinic, Inc. is located at 506 8th St, Davenport, WA 99122. The listed phone number is (509) 725-2000.
What is Davenport Vision Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Davenport Vision Clinic, Inc. enrolled in Medicare?
Yes. Davenport Vision Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Davenport Vision Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Davenport Vision Clinic, Inc.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Davenport Vision Clinic, Inc. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Davenport Vision Clinic Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Davenport Vision Clinic, Inc. accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Davenport Vision Clinic, Inc. 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 Davenport Vision Clinic, Inc. was last updated on October 15, 2009. 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.
# Davenport Vision Clinic, Inc. · NPI 1447323811
Optometrist organization in Davenport, Washington. Organization record, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1447323811 (Entity type: Organization)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Stacie Nichols, OWNER
## Practice location
- **Address:** 506 8TH ST, Davenport, WA 99122
- **Phone:** (509) 725-2000 · **Fax:** (509) 725-4231
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2009
- **Other identifiers:** Other 410046744 (WA); Medicare UPIN U62305; Medicare PIN GAB24826 (WA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1447323811) · Data from the CMS NPPES public registry.