Pasco Vision Clinic P S
NPI 1104851690ActiveOrganization· Optometrist· Pasco, WA
Optometrist in Pasco, Washington, registered in NPPES in July 2006. The authorized official on file is James C. Sullivan, O.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104851690 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 12, 2006 |
| Last updated in NPPES | Jun 15, 2026 |
| Certified by provider | Jun 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 38 | WA |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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