Organization Active NPI

Restore Vision Centers

  • Optometrist
  • Renton, WA
National Provider Identifier
1003931957
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RESTORE VISION CENTERS
Practice address
1300 SW 7TH St Ste 105
Renton, WA 98055-1225
Phone
(425) 687-7700
Fax
(425) 687-7703
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charlie J Stone
Title
Operations Manager
Phone
(425) 687-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X WA Primary

Addresses

Primary practice location

1300 SW 7TH St Ste 105
Renton, WA 98055-1225

Mailing address

1300 SW 7TH St Ste 105
Renton, WA 98055-1225
Phone (425) 687-7700

National Provider Directory

National Provider Directory

Locations

1300 SW 7th St
Ste 105
Renton, WA 98057
Phone (425) 687-7700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003931957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SW 7TH ST STE 105",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980551225",
            "telephone_number": "425-687-7700",
            "fax_number": "425-687-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SW 7TH ST STE 105",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980551225",
            "telephone_number": "425-687-7700",
            "fax_number": "425-687-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE VISION CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "425-687-7700"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.