Active NPI
Virginia O Bice, OD
- Optometrist
- Kennewick, WA
National Provider Identifier
1104425479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD61075611
- Practice address
- 6695 W Rio Grande Ave
Kennewick, WA 99336-3301 - Phone
- (509) 736-0826
- Fax
- (509) 735-6868
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP-100542 | ID | |
| Optometrist | 152W00000X | OD61075611 | WA | Primary |
Addresses
Primary practice location
6695 W Rio Grande Ave
Kennewick, WA 99336-3301
Mailing address
PO Box 1506
Chehalis, WA 98532-0409
Phone (360) 242-3008
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asc.pclikennewick.p1@direct.pclo.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1104425479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1506",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985320409",
"telephone_number": "360-242-3008",
"fax_number": "360-807-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6695 W RIO GRANDE AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993363301",
"telephone_number": "509-736-0826",
"fax_number": "509-735-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICE",
"first_name": "VIRGINIA",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-19",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-100542",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD61075611",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asc.pclikennewick.p1@direct.pclo.nextgenshare.com",
"affiliation": "N",
"address_1": "6695 W Rio Grande Ave",
"city": "Kennewick",
"state": "WA",
"country_code": "US",
"postal_code": "993363301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kennewick, WA
- Alexis Joyce Beyers
- BFG Kennewick Master Tenant, LLC (Fieldstone Memory Care of Kennewick)
- BFG Kennewick Master Tenant, LLC (Fieldstone Grandridge Independent and Assisted Living)
- Bi-State Occupational Safety & Health
- Elizabeth Bianchi, MD
- Andrea L Bickford, L.M.P.
- Lela Ann Bickford, RN, CCM, RIS
- Amanda Bieker-Harris
- Melissa Ann Bien, BSW
- Justin William Bingman, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.