Organization Active NPI

Karen M Wasylyshyn , OD PC

  • Optometrist
  • Cashmere, WA
National Provider Identifier
1013391499
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KAREN M WASYLYSHYN , OD PC
Practice address
131 Cottage Avenue
Suite a
Cashmere, WA 98815
Phone
(509) 888-5877
NPI assigned
Jul 15, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Karen Marie Wasylyshyn, ODNPI 1437101490
Title
President
Phone
(509) 888-5877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20151016001324 WA Part B Supplier - Clinic/Group Practice 1153630918 Receives reassigned benefits from 2 practitioners
Practice locations: Cashmere, WA

National Provider Directory

National Provider Directory

Locations

131 Cottage Ave
Ste A
Cashmere, WA 98815
Phone (509) 888-5877

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

131 Cottage Avenue
Suite a
Cashmere, WA 98815

Mailing address

1410 Apperidge Street
Wenatchee, WA 98801-0601
Phone (509) 888-5877

Other names 1

NPPES NPI Registry
  • Cashmere Vision Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2015.

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1013391499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 APPERIDGE STREET",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988010601",
            "telephone_number": "509-888-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COTTAGE AVENUE",
            "address_2": "SUITE A",
            "city": "CASHMERE",
            "state": "WA",
            "postal_code": "98815",
            "telephone_number": "509-888-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN M WASYLYSHYN , OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "WASYLYSHYN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-888-5877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cashmere Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cashmere, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.