Pasco Vision Clinic P S in Pasco, WA - Medicare Optometrist Provider

Pasco Vision Clinic P S is a medicare enrolled "Optometrist" provider in Pasco, Washington. Their current practice location is 2715 W Court St, Pasco, Washington. You can reach out to their office (for appointments etc.) via phone at (509) 547-8409.

Pasco Vision Clinic P S is licensed to practice in Washington (license number 38) and it also participates in the medicare program. Pasco Vision Clinic P S 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 1104851690.

Contact Information

	Pasco Vision Clinic P S
	2715 W Court St, Pasco, WA 99301-3911
	(509) 547-8409
	(509) 547-3751

Map and Direction

Healthcare Provider's Profile

Full Name	Pasco Vision Clinic P S
Type	Facility
Speciality	Optometrist
Location	2715 W Court St, Pasco, Washington
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104851690
Provider Enumeration Date: 07/12/2006
Last Update Date: 06/15/2026

Medicare PECOS Information:

PECOS PAC ID: 2860484169
Enrollment ID: O20040330000543

Medical Identifiers

Medical identifiers for Pasco Vision Clinic P S such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104851690	NPI	-	NPPES
1265729354	Medicaid	WA
CK6046	Other	WA	RAILROAD MEDICARE
0056740	Other	WA	DEPT OF LABOR & INDUSTRY
1568661924	Medicaid	WA
1104851690	Medicaid	WA
2300028	Medicaid	WA
1992802656	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	38 (Washington)	Primary
261Q00000X	Clinic/center	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pasco Vision Clinic P S acts as a billing entity for following providers:

Provider Name	James C Sullivan
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1992802656 PECOS PAC ID: 6002907243 Enrollment ID: I20070802000334

Provider Name	Adam D Good
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1568661924 PECOS PAC ID: 3678667201 Enrollment ID: I20070913000426

Provider Name	William E Sullivan
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1265729354 PECOS PAC ID: 9032360805 Enrollment ID: I20121105000342

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. Pasco Vision Clinic P S 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 Address	Practice Location Address
Pasco Vision Clinic P S 2715 W Court St, Pasco, WA 99301-3911 Ph: (509) 547-8409	Pasco Vision Clinic P S 2715 W Court St, Pasco, WA 99301-3911 Ph: (509) 547-8409

Reviews and Comments

Optometrist in Pasco, WA

James C Lewis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-542-8836
West Pasco Eye Care P.s. Optometrist Medicare: Medicare Enrolled Practice Location: 7001 Burden Blvd, Pasco, WA 99301 Phone: 509-543-9898 Fax: 509-380-5747
Dr. Lorin B Park, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4820 N Road 68, Pasco, WA 99301 Phone: 509-543-7953 Fax: 509-543-7955
Dr L Brendt Park Inc Optometrist Medicare: Medicare Enrolled Practice Location: 4820 N Road 68, Pasco, WA 99301 Phone: 509-543-7953 Fax: 509-543-7955
Dr. Kelly James Cochrane, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9825 Sandifur Pkwy, Suite B, Pasco, WA 99301 Phone: 509-547-6998 Fax: 509-547-6966
Dr. William Eugene Sullivan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2715 W Court St, Pasco, WA 99301 Phone: 509-547-8409 Fax: 509-544-7875

Pasco Vision Clinic P S - Medicare Optometrist in Pasco, WA