College Place Optical Center Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

COLLEGE PLACE OPTICAL CENTER INC.

Practice address

8325 212TH St SW
#104
Edmonds, WA 98026-7435

Phone

(425) 774-3501

Fax

(425) 774-3642

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ronald S Swengel, LDO

Title

Optician

Phone

(425) 774-3501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1164575007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 212TH ST SW",
            "address_2": "#104",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98026",
            "telephone_number": "425-745-8025",
            "fax_number": "425-774-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 212TH ST SW",
            "address_2": "#104",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267435",
            "telephone_number": "425-774-3501",
            "fax_number": "425-774-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PLACE OPTICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "SWENGEL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "425-774-3501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Edmonds, WA
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.