OrganizationActive
Creviston and Pedersen LLC
NPI 1174641690 · Optometrist · Moses Lake, WA
Creviston and Pedersen LLC is a Optometrist organization in Moses Lake, WA (NPI 1174641690).
Provider details
- NPI number
- 1174641690
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Laurie Sheppard, Office Manager(509) 765-2125
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
601 S Pioneer Way
Suite D
Moses Lake, WA 98837-4801
Phone: (509) 765-2125
Fax: (509) 766-0147
Street-level locationGet directions
Mailing address
601 S Pioneer Way
Moses Lake, WA 98837-4801
Other names (DBA / former)
- Doing business as
- Vision Clinic
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2008-11-11
Frequently asked questions
- What is Creviston and Pedersen LLC's NPI number?
- Creviston and Pedersen LLC's National Provider Identifier (NPI) is 1174641690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Creviston and Pedersen LLC?
- Creviston and Pedersen LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Creviston and Pedersen LLC located?
- Creviston and Pedersen LLC's practice location on file with NPPES is 601 S Pioneer Way, Moses Lake, WA 98837-4801.
- What is Creviston and Pedersen LLC's phone number?
- The practice phone number listed in the NPPES registry for Creviston and Pedersen LLC is (509) 765-2125.
- Who is the authorized official for Creviston and Pedersen LLC?
- The authorized official listed on Creviston and Pedersen LLC's NPPES record is Laurie Sheppard, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Creviston and Pedersen LLC's NPI active?
- Yes — Creviston and Pedersen LLC's NPI (1174641690) is active in the NPPES registry as of the last update on 2008-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.