State Vision Clinic – Optometrist, NPI 1720279649

State Vision Clinic is a healthcare provider. based in Vancouver, Washington. specializing in Optometrist. The organization holds a License No. OD00003133 (WA). The NPI Number for State Vision Clinic is 1720279649

Main info

Organization
Name
State Vision Clinic
NPI
1720279649
Phone
(360) 693-2300
Address
5411 MILL PLAIN BLVD
Authorized Official
LORI A YOUNGMAN PRESIDENT OD
Enumeration Date
6 August 2007
Last Update Date
6 August 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for State Vision Clinic

  • 5411 MILL PLAIN BLVD

    SUITE 28

    VANCOUVER, WA 98661

    Phone: (360) 693-2300

    Fax: (360) 693-2303

    Type: Location

  • 4535, Northwest Aspen Street, Camas, Clark County, Washington, 98607, United States

    CAMAS, WA 986078302

    Phone: (360) 693-2300

    Fax: (360) 693-2303

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 98661)

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Reviews

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Frequently asked questions

What number should I use to identify State Vision Clinic for billing?
Administrative and clinical systems typically use NPI 1720279649 for State Vision Clinic.
Should I treat State Vision Clinic as an active provider?
Patients and plans typically see State Vision Clinic as active in the national extract.
Which specialty label fits State Vision Clinic?
NPPES ties State Vision Clinic to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is State Vision Clinic tied to Vancouver, Washington?
If you are local to Vancouver, Washington, State Vision Clinic may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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