Active NPI
Sunnyside Vision PLLC
- Optometrist
- Sunnyside, WA
National Provider Identifier
1003487067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SUNNYSIDE VISION PLLC
- Practice address
- 2405 Reith Way Ste 1
Sunnyside, WA 98944-9536 - Phone
- (509) 839-2020
- NPI assigned
- Jul 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brett Mower
- Title
- Owner
- Phone
- (509) 307-7012
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2405 Reith Way Ste 1
Sunnyside, WA 98944-9536
Mailing address
PO Box 294
Selah, WA 98942-0294
Other names 1
- The Eye Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Selah, WA
- NPI 1689010811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625788800000",
"number": "1003487067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 294",
"city": "SELAH",
"state": "WA",
"postal_code": "989420294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 REITH WAY STE 1",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989449536",
"telephone_number": "509-839-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNNYSIDE VISION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-09",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A",
"authorized_official_last_name": "MOWER",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-307-7012"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sunnyside, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.