NPIMap

Organization Active NPI

Fenno Eye Clinics Inc., P.S.

  • Optometrist
  • Colville, WA
National Provider Identifier
1154463669
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1708TX Issued in WA
Legal business name
FENNO EYE CLINICS INC., P.S.
Practice address
102 S Oak St
Colville, WA 99114-2846
Phone
(509) 684-5278
NPI assigned
Feb 12, 2007
Last updated
Feb 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Michael FennoNPI 1366439242
Title
President
Phone
(509) 684-5278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1708TX WA Primary

Addresses

Primary practice location

102 S Oak St
Colville, WA 99114-2846

Mailing address

102 S Oak St
Colville, WA 99114-2846

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1154463669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S OAK ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S OAK ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142846",
            "telephone_number": "509-684-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENNO EYE CLINICS INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "FENNO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-684-5278"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1708TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.