Zillah Vision PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ZILLAH VISION PLLC

Practice address

811 Zillah West Rd
Zillah, WA 98953-9542

Phone

(509) 865-2777

NPI assigned

Sep 12, 2017

Last updated

Jul 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brett Mower, ODNPI 1689010811

Title

Managing Member

Phone

(509) 307-7012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett Mower, OD

  • Optometrist
  • Selah, WA
  • NPI 1689010811
  Medicare reassignment NPD Authorized official
• Brian Scott Hatch

  • Optometrist
  • Zillah, WA
  • NPI 1063986925
  Medicare reassignment NPD

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1023537008",
    "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": "811 ZILLAH WEST RD",
            "city": "ZILLAH",
            "state": "WA",
            "postal_code": "989539542",
            "telephone_number": "509-865-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZILLAH VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "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": "MANAGING MEMBER",
        "authorized_official_telephone_number": "509-307-7012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Patrick Woods, O. D.
• Phylicia Danielle Yorgure, M.D.
• Zillah Chiropractic Center Inc PS
• Zillah Drug Store Inc (Zillah Drug Store)
• Zillah School District

• Optometrist in Zillah, WA
• Providers in Zillah, WA by specialty
• Optometrist in Washington

• 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.
• 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.