Active NPI
Loren Stueckle O.D.,P.S.
- Clinic/Center
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 1306
- 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, 2008
- 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. Loren G Stueckle, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Optometrist
- Kennewick, WA
- NPI 1609948926
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.