NPIMap

Organization Active NPI

John E Picard

  • Clinic/Center
  • Sequim, WA
National Provider Identifier
1124318290
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1720 Issued in WA
Legal business name
JOHN E PICARD
Practice address
955 W Washington St
Costco Optical
Sequim, WA 98382-3266
Phone
(360) 406-2036
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
John E Picard, OD
Title
Owner
Phone
(360) 710-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1720 WA Primary

Addresses

Primary practice location

955 W Washington St
Costco Optical
Sequim, WA 98382-3266

Mailing address

PO Box 3376
Silverdale, WA 98383-3376
Phone (360) 710-7575

Other names 1

  • mountain view vision Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1124318290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3376",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833376",
            "telephone_number": "360-710-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 W WASHINGTON ST",
            "address_2": "COSTCO OPTICAL",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823266",
            "telephone_number": "360-406-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E PICARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "PICARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-710-7575",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "1720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mountain view vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.