Tri-Cities Vision Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OD60073002 Issued in WA

Legal business name

TRI-CITIES VISION CENTER

Practice address

2720 S Quillan St
Vision Center
Kennewick, WA 99337-2404

Phone

(509) 585-8314

Fax

(509) 585-9653

NPI assigned

Jun 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nathan W Owen, O.D.NPI 1679671531

Title

Optometrist/Business Manager

Phone

(509) 585-8314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Wayne Owen, OD

  • Optometrist
  • Kennewick, WA
  • NPI 1679671531
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1073740486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S QUILLAN ST",
            "address_2": "VISION CENTER",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372404",
            "telephone_number": "509-585-8314",
            "fax_number": "509-585-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S QUILLAN ST",
            "address_2": "VISION CENTER",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993372404",
            "telephone_number": "509-585-8314",
            "fax_number": "509-585-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTOMETRIST/BUSINESS MANAGER",
        "authorized_official_telephone_number": "509-585-8314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "OD60073002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-Cities Laboratory LLC
• Tri-Cities Laboratory, LLC
• Tri-Cities Laboratory, LLC
• Tri-Cities Primary Care
• Tri-Cities Regenerative Institute
• Tri-City Derm Management Inc.
• Tri-City Neurology, Inc.
• Tri-City Orthopaedic Clinic P S C
• Tri-City Orthopaedic Clinic, P S C
• Tri-City Orthopaedic Clinic, P S C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.