Mountlake Terrace Eye and Contact Lens Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

1415TX Issued in WA

Legal business name

MOUNTLAKE TERRACE EYE AND CONTACT LENS CLINIC

Practice address

23009 56TH Ave W
Ste a
Mountlake Terrace, WA 98043-4713

Phone

(425) 778-0133

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David W. Betts, OD

Title

President

Phone

(425) 778-0133

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1013189984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23009 56TH AVE W",
            "address_2": "STE A",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434713",
            "telephone_number": "425-778-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23009 56TH AVE W",
            "address_2": "STE A",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434713",
            "telephone_number": "425-778-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTLAKE TERRACE EYE AND CONTACT LENS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-778-0133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1415TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000032",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Jean Morley, L.M.P.
• Katelin Stevens Morse, MSW, LICSW
• Cara Ruth Motroni
• Mountlake Family Dentistry
• Mountlake Terrace Afh 1 LLC
• MPS Clinical Services LLC
• Akruti Pratik Munshi, M.ED, BCBA
• Kevin Joseph Murphy, LCSW
• Patricia Jo Murphy, ARNP
• Jenna Ursula Muszynski

• Optometrist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.