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NPI · 1558093591 · NPPES-sourced

Elijah Bannister OD

ActiveOptometrist
NPI Number
1558093591
Type 1 · Individual
Taxonomy Code
152W00000X
Contact
(360) 636-2020
License WA · OD61311755
Last Updated
About 3 years ago (Aug 2022)
Enumerated 2022-06-28
Primary practice addressWA · 98632-4081
820 Ocean Beach Hwy Ste 100Longview, WA 98632-4081
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About this NPIWhat this record shows.

NPI 1558093591 is registered to Elijah Bannister OD, a Optometrist practising at 820 Ocean Beach Hwy Ste 100 in Longview, Washington. Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Elijah Bannister OD has been enumerated in the National Provider Identifier (NPI) registry since 2022.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2022-06-28
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Elijah Bannister OD accepts. To confirm in-network status with your specific health plan, contact Elijah Bannister OD directly at (360) 636-2020.

Frequently asked

Yes. NPI 1558093591 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (360) 636-2020.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Elijah Bannister OD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy152W00000X
Last updated2022-08
Enumerated2022-06-28
StatusActive
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