Individual provider Active NPI

John Veiga, MD

  • Ophthalmology Physician
  • Silverdale, WA
National Provider Identifier
1063694214
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00041261 Issued in WA
Practice address
10315 Silverdale Way NW
Pro-Optix Eye Center
Silverdale, WA 98383-7670
Phone
(360) 698-4948
Fax
(360) 698-4948
NPI assigned
Nov 29, 2007
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00041261 WA Primary
General Practice Physician 208D00000X MD00041261 WA

Addresses

Primary practice location

10315 Silverdale Way NW
Pro-Optix Eye Center
Silverdale, WA 98383-7670

Mailing address

PO Box 936
Kelso, WA 98626-0086
Phone (360) 556-0892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040226000435 WA Practitioner - Ophthalmology 9830085778 Practice locations: Silverdale, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00041261WAMDOphthalmology Physician
2287OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
John Veiga, MD PLLC Ophthalmology PastSince Jul 10, 2015 Accepting new patients
Dean McGee Eye Institute Ophthalmology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1063694214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986260086",
            "telephone_number": "360-556-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 SILVERDALE WAY NW",
            "address_2": "PRO-OPTIX EYE CENTER",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837670",
            "telephone_number": "360-698-4948",
            "fax_number": "360-698-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEIGA",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00041261",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00041261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.