Active NPI
Clearly Lasik
- Optometrist
- Vancouver, WA
National Provider Identifier
1023212099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MD00035260
- Legal business name
- CLEARLY LASIK
- Practice address
- 1325 SE Tech Center Dr
Suite 110
Vancouver, WA 98683-5552 - Phone
- (360) 635-5000
- Fax
- (360) 635-5001
- NPI assigned
- Jun 13, 2007
- 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
- Dr. Joseph King, MD
- Title
- Ceo
- Phone
- (425) 525-2256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MD00035260 | WA | Primary |
Addresses
Primary practice location
1325 SE Tech Center Dr
Suite 110
Vancouver, WA 98683-5552
Mailing address
1325 SE Tech Center Dr
Suite 110
Vancouver, WA 98683-5552
Phone (360) 635-5000
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
- Vancouver, WA
- NPI 1710108196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023212099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 SE TECH CENTER DR",
"address_2": "SUITE 110",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835552",
"telephone_number": "360-635-5000",
"fax_number": "360-635-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SE TECH CENTER DR",
"address_2": "SUITE 110",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835552",
"telephone_number": "360-635-5000",
"fax_number": "360-635-5001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARLY LASIK",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "425-525-2256",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "MD00035260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, 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.