THE LASER & SURGERY CENTER
NPI 1639160450
Ophthalmology in Clarkston, WA

Active since November 01, 2005
500 PORT DR, CLARKSTON, WA 99403(509) 758-8811(509) 751-1188 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About The Laser & Surgery Center NPPES

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

THE LASER & SURGERY CENTER (NPI 1639160450) is a healthcare organization registered as an ophthalmology in Clarkston, Washington and active in the NPI registry since November 2005. The organization lists Mark T Eggleston, President, as its authorized official.

NPPES Registry Identity

NPI1639160450
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE CARE SPECIALISTS PS
Location Address500 PORT DRClarkston, WA 99403-1835
Mailing Address500 Port DrClarkston, WA 99403-1835 · (509) 758-8811 · Fax (509) 751-1188
Fax(509) 751-1188
Organization SubpartNo
Authorized OfficialMark T EgglestonPresident · (509) 758-8811
Enumeration DateNovember 1, 2005
Last NPPES UpdateApril 30, 2008
✔ NPI 1639160450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
500 PORT DR, Clarkston, WA 99403

Other Names 1

Doing Business AsThe Laser & Surgery Center

Other Identifiers 12

Other000010006387Federal Blue Cross
OtherQMXPR0064816WA · Molina Healthcare
Other85977ID · Blue Cross Of Idaho
Other0123143WA · Labor & Industry
Other000010006385ID · Regence Blue Shield Of Idaho
Medicare PIN1375873ID
Medicare PINCN6339
Other8927759WA · Crime Victims Compensation Act
Medicaid805350600ID
Medicare PINGAB04255WA
OtherBYHB9ID · Blue Cross Of Idaho
Medicaid7088859WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Laser & Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20040503001466Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to The Laser & Surgery Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Ophthalmology
NPI 1699896167
500 PORT DR
Clarkston, WA 99403
(509) 758-8811
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1306836705
500 PORT DRIVE
Clarkston, WA 99403
(509) 758-8811
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043623309
301 CEDAR ST
Orofino, ID 83544
(208) 476-5777
✔ Accepts Medicare38 mi

Source: 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 Eye Care Specialists Ps's NPI number?

The NPI number for Eye Care Specialists Ps is 1639160450. It was assigned to this organization in the NPPES registry on November 1, 2005. The provider is doing business as The Laser & Surgery Center.

Where is Eye Care Specialists Ps located?

Eye Care Specialists Ps is located at 500 Port Dr, Clarkston, WA 99403. The listed phone number is (509) 758-8811.

What is Eye Care Specialists Ps's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Eye Care Specialists Ps enrolled in Medicare?

Yes. Eye Care Specialists Ps is registered in the Medicare PECOS enrollment system.

When is Eye Care Specialists Ps's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Eye Care Specialists Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Eye Care Specialists Ps, in Certified Registered Nurse Anesthetist (CRNA) and Ophthalmology. 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 Eye Care Specialists Ps accept?

Health plans from Ambetter Health, Molina Healthcare and Premera Blue Cross Blue Shield of Alaska list Eye Care Specialists 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 Eye Care Specialists Ps was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.