Provider Demographics
NPI:1255473278
Name:EYE CARE ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:EYE CARE ASSOCIATES, PLLC
Other - Org Name:HELAINA BOULIERIS, O.D.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELAINA
Authorized Official - Middle Name:YVONNE STANYER
Authorized Official - Last Name:BOULIERIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:509-926-6800
Mailing Address - Street 1:12120 E MISSION AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-5378
Mailing Address - Country:US
Mailing Address - Phone:509-926-6800
Mailing Address - Fax:509-926-4041
Practice Address - Street 1:12120 E MISSION AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5378
Practice Address - Country:US
Practice Address - Phone:509-926-6800
Practice Address - Fax:509-926-4041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1874152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1021852Medicaid
WA2014934Medicaid
WA2014934Medicaid
WA1021852Medicaid
WA6037570001Medicare NSC