Selah Vision Source, Pllc
Selah Vision Source, Pllc is a healthcare organization registered as Optometrist in Selah, WA, holding Type 2 (organization) NPI 1487787511 since 2007. The authorized official on file is Nancy Graf, Projects Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487787511 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Selah Vision Source, Pllc |
| Other name | <Unavail> |
| Practice address | 105 W ORCHARD AVE, Selah, WA, 98942 |
| Phone | 5096976177 |
| Fax | 5096976659 |
| Enumeration date | 2007-03-14 |
| Last updated in NPPES | 2008-02-26 |
Authorized official
| Name | Nancy Graf |
|---|---|
| Title | Projects Manager |
| Phone | 5096976177 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 2610001320 | WA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17129 | Other | WA | L & I |
| 2051902 | Medicaid | WA | — |
| 8905978 | Other | WA | L & I CRIME VICTIMS |
| C 600 340 4768 | Other | WA | UBI # |
Copy-ready billing details
Provider: Selah Vision Source, Pllc NPI: 1487787511 Taxonomy: 152W00000X (Optometrist) Address: 105 W ORCHARD AVE, Selah, WA, 98942
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1881698793 | Dale Graf | Individual | Optometrist | Selah, WA |
| 1477558336 | Aaron Qunell | Individual | Optometrist | Selah, WA |
| 1689010811 | Brett Mower | Individual | Optometrist | Selah, WA |
Verify this record
Cross-check NPI 1487787511 against the authoritative CMS record: view Selah Vision Source, Pllc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Selah Vision Source, Pllc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-02-26.