Organization Active NPI

Loren Stueckle O.D.,P.S.

  • Clinic/Center
  • Kennewick, WA
National Provider Identifier
1053529867
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1306 Issued in WA
Legal business name
LOREN STUECKLE O.D.,P.S.
Practice address
1321 N Columbia Center Blvd
Suite 100
Kennewick, WA 99336-2184
Phone
(509) 783-2555
Fax
(509) 783-0830
NPI assigned
May 18, 2007
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Loren G Stueckle, O.D.NPI 1609948926
Title
Optometrist
Phone
(509) 952-4574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1306 WA Primary

Addresses

Primary practice location

1321 N Columbia Center Blvd
Suite 100
Kennewick, WA 99336-2184

Mailing address

PO Box 147
Yakima, WA 98907-0147
Phone (509) 952-4574

National Provider Directory

National Provider Directory

Locations

1321 N Columbia Center Blvd
Ste 100
Kennewick, WA 99336
Phone (509) 783-2555

1005 N Stratford Rd
Moses Lake, WA 98837
Phone (509) 765-1024

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1053529867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989070147",
            "telephone_number": "509-952-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N COLUMBIA CENTER BLVD",
            "address_2": "SUITE 100",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362184",
            "telephone_number": "509-783-2555",
            "fax_number": "509-783-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN STUECKLE O.D.,P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "STUECKLE",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "509-952-4574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "1306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.