Healthcare Provider Details

I. General information

NPI: 1346941549
Provider Name (Legal Business Name): RAINIER EYE AND VISION, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 S MARKET BLVD
CHEHALIS WA
98532-3037
US

IV. Provider business mailing address

145 S MARKET BLVD
CHEHALIS WA
98532-3037
US

V. Phone/Fax

Practice location:
  • Phone: 360-506-5544
  • Fax:
Mailing address:
  • Phone: 360-506-5544
  • Fax: 360-506-5547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MARY ELIZABETH FERRIS
Title or Position: OWNER
Credential: OD
Phone: 360-506-5544