Active NPI
Edith Bishel Center
- Low Vision Rehabilitation Optometrist
- Kennewick, WA
National Provider Identifier
1144416298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- Legal business name
- EDITH BISHEL CENTER
- Practice address
- 628 N Arthur St
Kennewick, WA 99336-2128 - Phone
- (509) 735-0699
- NPI assigned
- Sep 22, 2007
- Last updated
- Jan 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry Joseph Weiss
- Title
- Clinical Administrator
- Phone
- (509) 735-0699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | Primary |
Addresses
Primary practice location
628 N Arthur St
Kennewick, WA 99336-2128
Mailing address
628 N Arthur St
Kennewick, WA 99336-2128
Phone (509) 735-0699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2033355 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
628 N Arthur St
Kennewick, WA 99336
Phone (509) 735-0699
Practitioners & affiliated clinicians
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.
-
- Optometrist
- Spokane, WA
- NPI 1265543045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199750400000",
"number": "1144416298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 N ARTHUR ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362128",
"telephone_number": "509-735-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 N ARTHUR ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362128",
"telephone_number": "509-735-0699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDITH BISHEL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-22",
"last_updated": "2008-01-08",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
"authorized_official_telephone_number": "509-735-0699",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2033355",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.