EAST VANCOUVER EYE CLINIC P.S.
NPI 1790907491
Optometrist in Vancouver, WA
About East Vancouver Eye Clinic P.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST VANCOUVER EYE CLINIC P.S. (NPI 1790907491) is a healthcare organization registered as an optometrist in Vancouver, Washington and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Gary Alan Cole, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
East Vancouver Eye Clinic P.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to East Vancouver Eye Clinic P.S., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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
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 50D2216125
East Vancouver Eye · Vancouver, 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 East Vancouver Eye Clinic P.S.'s NPI number?
The NPI number for East Vancouver Eye Clinic P.S. is 1790907491. It was assigned to this organization in the NPPES registry on May 3, 2007.
Where is East Vancouver Eye Clinic P.S. located?
East Vancouver Eye Clinic P.S. is located at 6680 NE 159th Ave. Suite # 102, Vancouver, WA 98682. The listed phone number is (360) 449-3937.
What is East Vancouver Eye Clinic P.S.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is East Vancouver Eye Clinic P.S. enrolled in Medicare?
Yes. East Vancouver Eye Clinic P.S. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Vancouver Eye Clinic P.S.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to East Vancouver Eye Clinic P.S.. 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.
Does East Vancouver Eye Clinic P.S. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2216125) 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 East Vancouver Eye Clinic P.S. accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list East Vancouver Eye Clinic P.S. 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 East Vancouver Eye Clinic P.S. was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# East Vancouver Eye Clinic P.s. · NPI 1790907491
Optometrist organization in Vancouver, Washington. Organization record, active in the CMS NPPES registry since May 3, 2007.
## Identity
- **NPI:** 1790907491 (Entity type: Organization)
- **Enumerated:** May 3, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Gary Cole, OWNER
## Practice location
- **Address:** 6680 NE 159TH AVE., SUITE # 102, Vancouver, WA 98682-8830
- **Phone:** (360) 449-3937 · **Fax:** (360) 449-3094
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2018
- **Other identifiers:** Medicaid 1010430 (WA); Medicaid 2023828 (WA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790907491) · Data from the CMS NPPES public registry.