Liberty Lake Eyecare Center Ps
NPI 1609889039 · Optometrist · Liberty Lake, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Liberty Lake Eyecare Center Ps is a Optometrist organization in Liberty Lake, WA (NPI 1609889039).
Provider details
- NPI number
- 1609889039
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Bret Ulrich, President(509) 893-7574
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
- 2006-08-15
- Last updated
- 2021-09-17
- Certified
- 2021-09-17
Frequently asked questions
- What is Liberty Lake Eyecare Center Ps's NPI number?
- Liberty Lake Eyecare Center Ps's National Provider Identifier (NPI) is 1609889039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Lake Eyecare Center Ps?
- Liberty Lake Eyecare Center Ps is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Liberty Lake Eyecare Center Ps located?
- Liberty Lake Eyecare Center Ps's practice location on file with NPPES is 22011 E Country Vista Dr Ste 101, Liberty Lake, WA 99019-5242.
- What is Liberty Lake Eyecare Center Ps's phone number?
- The practice phone number listed in the NPPES registry for Liberty Lake Eyecare Center Ps is (154) 178-6332.
- Does Liberty Lake Eyecare Center Ps accept Medicare?
- Liberty Lake Eyecare Center Ps 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 Liberty Lake Eyecare Center Ps?
- The authorized official listed on Liberty Lake Eyecare Center Ps's NPPES record is Bret Ulrich, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Lake Eyecare Center Ps's NPI active?
- Yes — Liberty Lake Eyecare Center Ps's NPI (1609889039) is active in the NPPES registry as of the last update on 2021-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.