Colville Vision Source - Medicare Optometrist in Newport, WA

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Colville Vision Source is a medicare enrolled "Optometrist" provider in Newport, Washington. Their current practice location is 205 S Washington Ave, Newport, Washington. You can reach out to their office (for appointments etc.) via phone at (509) 447-2945.

Colville Vision Source is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Colville Vision Source is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1629638929.

Contact Information

Colville Vision Source
205 S Washington Ave,
Newport, WA 99156-9670
(509) 447-2945
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameColville Vision Source
TypeFacility
SpecialityOptometrist
Location205 S Washington Ave, Newport, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629638929
  • Provider Enumeration Date: 06/18/2019
  • Last Update Date: 10/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3870925092
  • Enrollment ID: O20191108002085

Medical Identifiers

Medical identifiers for Colville Vision Source such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629638929NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Colville Vision Source acts as a billing entity for following providers:
Provider NameNils Ohlsen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457358657
PECOS PAC ID: 2567457724
Enrollment ID: I20080728000093
Provider NameDenis Holmes
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1114913589
PECOS PAC ID: 3173652856
Enrollment ID: I20100519000553
Provider NameCrystal Edison
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1386953461
PECOS PAC ID: 0143458638
Enrollment ID: I20140107001396
Provider NameTheresa Vo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1881021186
PECOS PAC ID: 2163746397
Enrollment ID: I20150119000109
Provider NameMy Phuong Bui
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1831544295
PECOS PAC ID: 0840586400
Enrollment ID: I20160907002268
Provider NameCaitlin Golberg
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1093079915
PECOS PAC ID: 7911148069
Enrollment ID: I20161003002110
Provider NameKyle J Crance
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1114372000
PECOS PAC ID: 1557628682
Enrollment ID: I20171128002731
Provider NameTerri L Haley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1114929817
PECOS PAC ID: 8022083302
Enrollment ID: I20190917003300
Provider NameCiara Mccaffrey
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1962995894
PECOS PAC ID: 6204185358
Enrollment ID: I20191209001684
Provider NameHannah Nohrenberg
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1952853517
PECOS PAC ID: 7810242609
Enrollment ID: I20200428001819
Provider NameJames M Phelan
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1124653464
PECOS PAC ID: 0446669592
Enrollment ID: I20210503001162
Provider NameAmber Aria
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1568610087
PECOS PAC ID: 1355409236
Enrollment ID: I20220803003477
Provider NameNayab Davis
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942782321
PECOS PAC ID: 0547512030
Enrollment ID: I20220804001829
Provider NameElizabeth Danielle Peters
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1174218242
PECOS PAC ID: 2567822240
Enrollment ID: I20230712004066
Provider NameJonathan Alexander Glennie
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1184463101
PECOS PAC ID: 5294278636
Enrollment ID: I20240613003491
Provider NameEliza Whatley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1376299040
PECOS PAC ID: 9032594882
Enrollment ID: I20240715002448
Provider NameDanielle Johnson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023637733
PECOS PAC ID: 2466872080
Enrollment ID: I20250122000654
Provider NameLisa Nguyen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770966525
PECOS PAC ID: 0648600692
Enrollment ID: I20250505000807
Provider NameKathleen Gross
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942794961
PECOS PAC ID: 5092069419
Enrollment ID: I20250616001825
Provider NameJosephine Burbank
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1598122574
PECOS PAC ID: 3173012028
Enrollment ID: I20251123000154
Provider NameYa Chun Lin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1083274740
PECOS PAC ID: 7315370293
Enrollment ID: I20260121002961

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colville Vision Source is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Colville Vision Source
3109 S Dearborn Ln,
Spokane, WA 99223-1536

Ph: (509) 670-1578		Colville Vision Source
205 S Washington Ave,
Newport, WA 99156-9670

Ph: (509) 447-2945

Reviews and Comments


Optometrist in Newport, WA

Dr. Kyle Crance, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 205 S Washington Ave, Newport, WA 99156
Phone: 509-447-2945    
Elizabeth Peters,
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 205 S Washington Ave, Newport, WA 99156
Phone: 509-447-2945    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.