Eagle Eye Care – Federally Qualified Health Center (FQHC), NPI 1528316379

Eagle Eye Care is a healthcare provider. based in Othello, Washington. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Eagle Eye Care is 1528316379

Main info

Organization
Name
Eagle Eye Care
NPI
1528316379
Phone
(509) 488-5256
Address
140 E MAIN ST
Authorized Official
NIEVES GOMEZ CEO
Enumeration Date
28 August 2012
Last Update Date
6 May 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:13State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Eagle Eye Care

  • 140 E MAIN ST

    OTHELLO, WA 993441040

    Phone: (509) 488-5256

    Fax: (509) 488-9939

    Type: Mailing

  • 1051 S. COLUMBIA AVENUE

    CONNELL, WA 99326

    Phone: (509) 488-5256

    Fax: (509) 488-9939

    Type: Location

  • 1515 E COLUMBIA ST

    OTHELLO, WA 993441846

    Phone: (509) 488-5256

    Fax: (509) 488-9939

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-09

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99344)

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Reviews

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Frequently asked questions

What NPI should I save for Eagle Eye Care?
Save NPI 1528316379 if you need a stable reference for Eagle Eye Care.
Does this profile mean Eagle Eye Care is currently active?
Yes — Eagle Eye Care appears active in the national provider directory.
What field does Eagle Eye Care work in?
You can think of Eagle Eye Care as practicing within Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where is Eagle Eye Care's primary listing?
We display Othello, Washington because that is what the record indicates for Eagle Eye Care.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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