Organization Active NPI

Pacific Eyecare & Optical, PLLC

  • Health Service Clinic/Center
  • Spokane, WA
National Provider Identifier
1205168184
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
OD3853 Issued in WA
Legal business name
PACIFIC EYECARE & OPTICAL, PLLC
Doing business as
Pacific EyeCare & Optical
Practice address
5011 W Lowell Ave
Suite 120
Spokane, WA 99208-8587
Phone
(509) 868-0215
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Authorized official

Name
Dr. Thomas A Myers, OD
Title
Managing Member
Phone
(509) 844-8184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X OD3853 WA Primary

Addresses

Primary practice location

5011 W Lowell Ave
Suite 120
Spokane, WA 99208-8587

Mailing address

5208 E Whitehall LN
Colbert, WA 99005-9165
Phone (509) 844-8184

Other names 1

  • Pacific EyeCare & Optical Doing business as

National Provider Directory

National Provider Directory

Locations

8801 N Indian Trail Rd
Ste I
Spokane, WA 99208
Phone (509) 465-4799

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1205168184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 E WHITEHALL LN",
            "city": "COLBERT",
            "state": "WA",
            "postal_code": "990059165",
            "telephone_number": "509-844-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 W LOWELL AVE",
            "address_2": "SUITE 120",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088587",
            "telephone_number": "509-868-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EYECARE & OPTICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "509-844-8184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "OD3853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific EyeCare & Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.