Montesano Vision Center PLLC
NPI 1104112358 · Optometrist · Montesano, WA
Enrolled with Medicare as Dme Supplier - Physician - Optometrist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Montesano Vision Center PLLC is a Optometrist organization in Montesano, WA (NPI 1104112358).
Provider details
- NPI number
- 1104112358
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Geoffrey Wills, Member(360) 249-3485
- License
- OD 3739 (WA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-06-27
- Last updated
- 2011-08-25
Frequently asked questions
- What is Montesano Vision Center PLLC's NPI number?
- Montesano Vision Center PLLC's National Provider Identifier (NPI) is 1104112358, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Montesano Vision Center PLLC?
- Montesano Vision Center PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Montesano Vision Center PLLC located?
- Montesano Vision Center PLLC's practice location on file with NPPES is 118 S Main St, Montesano, WA 98563-3709.
- What is Montesano Vision Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Montesano Vision Center PLLC is (360) 249-3485.
- Does Montesano Vision Center PLLC accept Medicare?
- Montesano Vision Center PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Montesano Vision Center PLLC?
- The authorized official listed on Montesano Vision Center PLLC's NPPES record is Geoffrey Wills, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Montesano Vision Center PLLC's NPI active?
- Yes — Montesano Vision Center PLLC's NPI (1104112358) is active in the NPPES registry as of the last update on 2011-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.