Vista Eye Care, PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD1898 Issued in WA

Legal business name

VISTA EYE CARE, PS

Practice address

17801 108TH Ave SE Ste a
Renton, WA 98055-6420

Phone

(206) 227-2750

NPI assigned

Feb 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Saphol Ros, OD

Title

President

Phone

(206) 227-2750

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1184862963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17801 108TH AVE SE STE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556420",
            "telephone_number": "206-227-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17801 108TH AVE SE STE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556420",
            "telephone_number": "206-227-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA EYE CARE, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "ROS",
        "authorized_official_first_name": "SAPHOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-227-2750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD1898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Renton, WA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.