MEDICARE: GREAT BASIN EYECARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OD1536TX	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0226424	OTHER	WA	DEPT. LABOR AND INDUSTRIE

General Provider Information

NPI Number	:	1487836151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT BASIN EYECARE, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 4013
Second Line	:
City	:	PASCO
State	:	WA
Zip	:	99302-4013
Country	:	US
Telephone Number	:	509-547-6998
Fax Number	:	509-547-6966

Provider Business Practice Location Address
First Line	:	9825 SANDIFUR PKWY
Second Line	:	SUITE B
City	:	PASCO
State	:	WA
Zip	:	99301-6738
Country	:	US
Telephone Number	:	509-547-6998
Fax Number	:	509-547-6966

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KELLY J COCHRANE
Credential	:	OD
Telephone Number	:	509-547-6998

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	12/04/2007

Similar Medicare Providers

1184693897 — DR. KELLY JAMES COCHRANE OD
Practice Location Address:

9825 SANDIFUR PKWY , SUITE B
PASCO, WA
99301-6738

Practice Phone: 509-547-6998
Practice Fax: 509-547-6966

1770683377 — CIA FLODIN M.ED. LMHC
Practice Location Address:

9825 SANDIFUR PKWY , SUITE D
PASCO, WA
99301-6738

Practice Phone: 509-845-0366
Practice Fax: 509-735-5322

1417048000 — SUSAN MARIE ARNESON M.A
Practice Location Address:

9825 SANDIFUR PKWY STE D
PASCO, WA
99301-6738

Practice Phone: 509-438-7722
Practice Fax: 509-967-4736

1457422917 — MR. JOHN JASON CHASTAIN LICSW
Practice Location Address:

9825 SANDIFUR PKWY STE D
PASCO, WA
99301-6738

Practice Phone: 509-531-6698
Practice Fax: 509-402-1176

1184839599 — MERI LEE TIPPETT
Practice Location Address:

9825 SANDIFUR PKWY , SUITE D
PASCO, WA
99301-6738

Practice Phone: 509-539-1075
Practice Fax:

1265752125 — JENNIFER MARIE GAYLORD
Practice Location Address:

9825 SANDIFUR PKWY
PASCO, WA
99301-6738

Practice Phone: 509-430-3936
Practice Fax:

Directions to “GREAT BASIN EYECARE, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.