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Pasco Vision Clinic Ps

Optometrist in Pasco, WA · enumerated 2006 · authorized official James Sullivan, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104851690

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Registry record

Entity type Organization (Type 2)
Legal business name Pasco Vision Clinic Ps
Practice address 2715 W Court St, Pasco, WA, 99301
Phone (509) 547-8409
Fax (509) 547-3751
Enumeration date Jul 12, 2006
Last updated in NPPES May 19, 2026

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary
152W00000X Optometrist Eye and Vision Services Providers · License 38 (WA) Primary

Authorized official

Name James Sullivan
Title President
Phone (509) 547-8409

Other identifiers

Identifier Type State Issuer
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 -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pasco Vision Clinic Ps?
The NPI for Pasco Vision Clinic Ps is 1104851690, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pasco Vision Clinic Ps?
NPPES lists James Sullivan (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-19.