Fairhaven Vision Clinic PLLC
NPI 1356413439 · Optometrist · Bellingham, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairhaven Vision Clinic PLLC is a Optometrist organization in Bellingham, WA (NPI 1356413439).
Provider details
- NPI number
- 1356413439
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Nancy Jacobsen, Optical Technician(360) 733-1190
- License
- OD00000910 (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
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
Mailing address
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2009-09-14
Frequently asked questions
- What is Fairhaven Vision Clinic PLLC's NPI number?
- Fairhaven Vision Clinic PLLC's National Provider Identifier (NPI) is 1356413439, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairhaven Vision Clinic PLLC?
- Fairhaven Vision Clinic PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Fairhaven Vision Clinic PLLC located?
- Fairhaven Vision Clinic PLLC's practice location on file with NPPES is 1207 Old Fairhaven Pkwy, Bellingham, WA 98225-7411.
- What is Fairhaven Vision Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fairhaven Vision Clinic PLLC is (360) 733-1190.
- Does Fairhaven Vision Clinic PLLC accept Medicare?
- Fairhaven Vision Clinic 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 Fairhaven Vision Clinic PLLC?
- The authorized official listed on Fairhaven Vision Clinic PLLC's NPPES record is Nancy Jacobsen, Optical Technician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairhaven Vision Clinic PLLC's NPI active?
- Yes — Fairhaven Vision Clinic PLLC's NPI (1356413439) is active in the NPPES registry as of the last update on 2009-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.