LEAVENWORTH VISION SOURCE
NPI 1538219787
Optometrist in Leavenworth, WA
About Leavenworth Vision Source NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEAVENWORTH VISION SOURCE (NPI 1538219787) is a healthcare organization registered as an optometrist in Leavenworth, Washington and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Nicholas Allen Donaghey, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Leavenworth Vision Source is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Leavenworth Vision Source, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 50D2315107
Leavenworth Vision Source · Leavenworth, WACertificate of Waiver 50D2079337
Vision Source Of Wenatchee · Wenatchee, WAFrequently 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 Of Wenatchee, Ps's NPI number?
The NPI number for Vision Source Of Wenatchee, Ps is 1538219787. It was assigned to this organization in the NPPES registry on January 11, 2007. The provider is doing business as Leavenworth Vision Source.
Where is Vision Source Of Wenatchee, Ps located?
Vision Source Of Wenatchee, Ps is located at 1133 Us Highway 2 Suite G, Leavenworth, WA 98826. The listed phone number is (509) 548-7379.
What is Vision Source Of Wenatchee, Ps's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Vision Source Of Wenatchee, Ps enrolled in Medicare?
Yes. Vision Source Of Wenatchee, Ps is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vision Source Of Wenatchee, Ps?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Vision Source Of Wenatchee, Ps. 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 Vision Source Of Wenatchee, Ps hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Vision Source Of Wenatchee, Ps accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Vision Source Of Wenatchee, Ps 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 Of Wenatchee, Ps was last updated on March 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Leavenworth Vision Source · NPI 1538219787
Optometrist organization in Leavenworth, Washington. Organization record, active in the CMS NPPES registry since January 11, 2007.
## Identity
- **NPI:** 1538219787 (Entity type: Organization)
- **Enumerated:** January 11, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Vision Source Of Wenatchee, Ps
- **Organization subpart:** No
- **Authorized official:** Nicholas Donaghey, VICE PRESIDENT
## Practice location
- **Address:** 1133 US HIGHWAY 2, SUITE G, Leavenworth, WA 98826-1439
- **Phone:** (509) 548-7379 · **Fax:** (509) 548-4524
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2023
- **Other identifiers:** Medicaid 2023893 (WA)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1538219787) · Data from the CMS NPPES public registry.