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SAN JUANS VISION SOURCE
NPI 1932227154
Clinic/Center in Eastsound, WA

Active since March 26, 2007
1286 SUITE 106 B MT BAKER ROAD, EASTSOUND, WA 98245(360) 376-5310(866) 393-7127 Get Directions Write a Review

NPPES record last updated: January 9, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About San Juans Vision Source NPPES

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

SAN JUANS VISION SOURCE (NPI 1932227154) is a healthcare organization registered as a clinic/center in Eastsound, Washington and active in the NPI registry since March 2007. The organization lists Christopher T White, President, as its authorized official.

NPPES Registry Identity

NPI1932227154
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSAN JUANS VISION CARE P.S.
Location Address1286 SUITE 106 B MT BAKER ROADEastsound, WA 98245
Mailing AddressPo Box 181Eastsound, WA 98245 · (360) 376-5310 · Fax (866) 393-7127
Phone(360) 376-5310
Fax(866) 393-7127
Organization SubpartNo
Authorized OfficialChristopher T WhitePresident · (360) 376-5310
Enumeration DateMarch 26, 2007
Last NPPES UpdateJanuary 9, 2015
✔ NPI 1932227154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WA · OD00001839
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1286 SUITE 106 B MT BAKER ROAD, Eastsound, WA 98245
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Other Names 1

Doing Business AsSan Juans Vision Source

Other Identifiers 2

Medicare UPINU03038WA
Medicare ID-Type UnspecifiedG115000519WA

Accepted Insurance

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

San Juans Vision Source is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to San Juans Vision Source, which bills Medicare for the services this clinician delivers.

Clinician (1)

Christopher White, OD
Optometry
NPI 1710020482
1286 MOUNT BAKER RD SUITE B
Eastsound, WA 98245
(360) 376-5310
✔ PECOS✔ Accepts MedicareSame address

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 San Juans Vision Care P.S.'s NPI number?

The NPI number for San Juans Vision Care P.S. is 1932227154. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is doing business as San Juans Vision Source.

Where is San Juans Vision Care P.S. located?

San Juans Vision Care P.S. is located at 1286 Suite 106 B Mt Baker Road, Eastsound, WA 98245. The listed phone number is (360) 376-5310.

What is San Juans Vision Care P.S.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is San Juans Vision Care P.S. enrolled in Medicare?

Yes. San Juans Vision Care P.S. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Juans Vision Care P.S.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to San Juans Vision Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does San Juans Vision Care P.S. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list San Juans Vision Care 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 San Juans Vision Care P.S. was last updated on January 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.