Eye and Wellness, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE AND WELLNESS, LLC

Practice address

1690 SE Harvest Dr
Pullman, WA 99163-6000

Phone

(509) 334-2990

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Dane Sultzer

Title

Owner

Phone

(808) 392-7230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1174065783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 W FAIRVIEW AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992053433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 SE HARVEST DR",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991636000",
            "telephone_number": "509-334-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "SULTZER",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-392-7230"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kathleen Joy Evermann, LICSW
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• Optometrist in Pullman, WA
• Providers in Pullman, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.