Pacific Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3169T Issued in WA

Legal business name

PACIFIC OPTICAL INC

Doing business as

Pacific Optical

Practice address

16420 SE McGillivray Blvd
Ste 105
Vancouver, WA 98683-3461

Phone

(360) 253-3972

Fax

(360) 253-5476

NPI assigned

Apr 4, 2008

Last updated

May 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alison D Fujisaki, ODNPI 1558458158

Title

Owner

Phone

(360) 253-3972

Specialties & licenses 1

Addresses

Other names 1

• Pacific Optical Doing business as

Locations

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.

• Alison D Fujisaki, OD

  • Optometrist
  • Vancouver, WA
  • NPI 1558458158
  NPD (past) Authorized official

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1114190790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16420 SE MCGUILLIVRAY BLVD",
            "address_2": "STE 105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "960-253-3972",
            "fax_number": "360-253-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16420 SE MCGILLIVRAY BLVD",
            "address_2": "STE 105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833461",
            "telephone_number": "360-253-3972",
            "fax_number": "360-253-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "FUJISAKI",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-253-3972",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3169T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pacific Surgical Specialists, PLLC
• Pacific Trillium Counseling LLC

• Optometrist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.