Northwest Vision Center, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OD00001152 Issued in WA

Legal business name

NORTHWEST VISION CENTER, P.C.

Practice address

1510 Cooper Point Rd SW
Suite 110
Olympia, WA 98502-5734

Phone

(360) 489-0493

Fax

(360) 943-9424

NPI assigned

Oct 9, 2007

Last updated

Apr 5, 2010By 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. Dallas Robert Carr, O.D.

Title

President

Phone

(360) 489-0493

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1053509562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 COOPER POINT RD SW",
            "address_2": "SUITE 110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025734",
            "telephone_number": "360-489-0493",
            "fax_number": "360-943-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 COOPER POINT RD SW",
            "address_2": "SUITE 110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025734",
            "telephone_number": "360-489-0493",
            "fax_number": "360-943-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST VISION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-489-0493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "OD00001152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.