Organization Active NPI

Central Washington Optical, LLC

  • Optician
  • Yakima, WA
National Provider Identifier
1043321508
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO00001728 Issued in WA
Legal business name
CENTRAL WASHINGTON OPTICAL, LLC
Practice address
3902 Creekside Loop
Suite 110
Yakima, WA 98902-4876
Phone
(509) 248-5176
Fax
(509) 248-0621
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Donna Hatch
Title
Manager
Phone
(509) 248-5176

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X DO00001728 WA Primary
Eyewear Supplier 332H00000X 602255023 WA

Addresses

Primary practice location

3902 Creekside Loop
Suite 110
Yakima, WA 98902-4876

Mailing address

3902 Creekside Loop
Suite 110
Yakima, WA 98902-4876
Phone (509) 248-5176

Other identifiers 1

IdentifierTypeStateIssuer
2026730MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1043321508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 CREEKSIDE LOOP",
            "address_2": "SUITE 110",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024876",
            "telephone_number": "509-248-5176",
            "fax_number": "509-248-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 CREEKSIDE LOOP",
            "address_2": "SUITE 110",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024876",
            "telephone_number": "509-248-5176",
            "fax_number": "509-248-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WASHINGTON OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-248-5176"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "DO00001728",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "602255023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026730",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.