NEWPORT VISION SOURCE
NPI 1629638929
Optometrist in Newport, WA
About Newport Vision Source NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEWPORT VISION SOURCE (NPI 1629638929) is a healthcare organization registered as an optometrist in Newport, Washington and active in the NPI registry since June 2019. The organization maintains a secondary practice location in Colville and lists Kyle Crance, Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Secondary Practice Location 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)
Newport Vision Source is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Newport Vision Source, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 23Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Northeastern Washington Eyecare's NPI number?
The NPI number for Northeastern Washington Eyecare is 1629638929. It was assigned to this organization in the NPPES registry on June 18, 2019. The provider is doing business as Newport Vision Source and Colville Vision Source.
Where is Northeastern Washington Eyecare located?
Northeastern Washington Eyecare is located at 205 S Washington Ave, Newport, WA 99156. The listed phone number is (509) 447-2945.
What is Northeastern Washington Eyecare's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Northeastern Washington Eyecare enrolled in Medicare?
Yes. Northeastern Washington Eyecare is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeastern Washington Eyecare?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians, all in Optometry, reassign their Medicare billing to Northeastern Washington Eyecare. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northeastern Washington Eyecare accept?
Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Northeastern Washington Eyecare 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 Northeastern Washington Eyecare was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Newport Vision Source · NPI 1629638929
Optometrist organization in Newport, Washington. Organization record, active in the CMS NPPES registry since June 18, 2019.
## Identity
- **NPI:** 1629638929 (Entity type: Organization)
- **Enumerated:** June 18, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Northeastern Washington Eyecare
- **Also known as:** Colville Vision Source (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kyle Crance, DOCTOR
## Practice location
- **Address:** 205 S WASHINGTON AVE, Newport, WA 99156-9670
- **Phone:** (509) 447-2945
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address; [full list](https://npiprofile.com/npi/1629638929/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629638929) · Data from the CMS NPPES public registry.