MID COLUMBIA EYECARE CENTER, INC, PS
NPI 1750585972
Optometrist in Pasco, WA

Q: What is Mid Columbia Eyecare Center, Inc, Ps's NPI number?

The NPI number for Mid Columbia Eyecare Center, Inc, Ps is 1750585972. It was assigned to this organization in the NPPES registry on June 12, 2007.

Q: What is Mid Columbia Eyecare Center, Inc, Ps's specialty?

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

Active since June 12, 2007CLIA 50D1101176 · Waiver

4403 W COURT ST STE J, PASCO, WA 99301(509) 547-9695(509) 547-5017 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mid Columbia Eyecare Center, Inc, Ps NPPES

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

MID COLUMBIA EYECARE CENTER, INC, PS (NPI 1750585972) is a healthcare organization registered as an optometrist in Pasco, Washington and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Romelia Sifuentez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1750585972

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMID COLUMBIA EYECARE CENTER, INC, PS

Location Address4403 W COURT ST STE JPasco, WA 99301-2879

Mailing Address4403 W Court St Ste JPasco, WA 99301-2879 · (509) 547-9695 · Fax (509) 547-5017

Phone(509) 547-9695

Fax(509) 547-5017

Organization SubpartNo

Authorized OfficialRomelia SifuentezOffice Manager · (509) 547-9695

Enumeration DateJune 12, 2007

Last NPPES UpdateDecember 6, 2023

NPPES CertifiedDecember 6, 2023

✔ NPI 1750585972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

4403 W COURT ST STE J, Pasco, WA 99301

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Other Identifiers 1

Medicaid2020683WA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 50D1101176

Mid Columbia Eyecare Center Inc Ps · Pasco, WA

Active · expires Apr 4, 2028

CLIA Number50D1101176

Laboratory TypeMobile Laboratory

Certificate Effective DateJune 22, 2009

Certificate Expiration DateApril 4, 2028

Laboratory DirectorDaniel A. Perdue

Laboratory Phone(509) 547-9695

Laboratory LocationMid Columbia Eyecare Center Inc Ps4403 W Court Ste J, Pasco, WA 99301

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Mid-Columbia Eyecare Center Inc Ps carries, from the Medicare DMEPOS supplier directory.

Mid-Columbia Eyecare Center Inc Ps

DMEPOS supplier · Pasco, WA

✔

Accepts Medicare assignment

Mid-Columbia Eyecare Center Inc Ps 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)20658797

Medicare Participant SinceJanuary 1, 1998

Supplier Location4403 W Court St Ste JPasco, WA 99301

Phone(509) 547-9695

Supplier Specialties

Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Prosthetic Lenses: Conventional Contact Lenses

Conventional Contact Lenses

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 Mid Columbia Eyecare Center, Inc, Ps's NPI number?

The NPI number for Mid Columbia Eyecare Center, Inc, Ps is 1750585972. It was assigned to this organization in the NPPES registry on June 12, 2007.

Where is Mid Columbia Eyecare Center, Inc, Ps located?

Mid Columbia Eyecare Center, Inc, Ps is located at 4403 W Court St Ste J, Pasco, WA 99301. The listed phone number is (509) 547-9695.

What is Mid Columbia Eyecare Center, Inc, Ps's specialty?

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

Does Mid Columbia Eyecare Center, Inc, Ps accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Mid-Columbia Eyecare Center Inc Ps accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Mid Columbia Eyecare Center, Inc, Ps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1101176) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mid Columbia Eyecare Center, Inc, Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mid Columbia Eyecare Center, Inc, 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 Mid Columbia Eyecare Center, Inc, Ps was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.