OrganizationActive
Selah Vision Source, PLLC
NPI 1487787511 · Optometrist · Selah, WA
Provider details
- NPI number
- 1487787511
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Nancy Graf, Projects Manager(509) 697-6177
- License
- 2610001320 (WA)
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
105 W Orchard Ave
Selah, WA 98942-1329
Phone: (509) 697-6177
Fax: (509) 697-6659
Street-level locationGet directions
Mailing address
105 W Orchard Ave
Selah, WA 98942-1329
Other names (DBA / former)
- Doing business as
- Selah Vision Clinic
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2008-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.