# SPOKANE EYE CLINIC PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spokane Eye Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831165331
- **Authorized official:** JENNIFER HASTIE (VP CREDENTIALING AND PAYER RELATION)
- **Authorized official phone:** (214) 415-9671

## Contact information

- **Practice address:** 427 S BERNARD ST, SUITE 200, SPOKANE, WA 99204-2509
- **Practice address phone:** (509) 456-8150
- **Practice address fax:** (509) 455-9887
- **Mailing address:** 427 S BERNARD ST STE 200, SPOKANE, WA 99204-2509
- **Mailing address phone:** (509) 456-8150
- **Mailing address fax:** (509) 455-9887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASF.FS.60101697 | WA | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | 600012071 | WA | — |

## Other

- **Enumeration date:** 02/24/2006
- **Last updated:** 02/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 191562100 | L&I | WA |
| 01 | — | 490003446 | RAILROAD MEDICARE | — |
| 05 | — | 7086879 | — | WA |