Active NPI
Doug Ricks and Associates
- Optometrist
- Union Gap, WA
National Provider Identifier
1215294178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD60171104
- Legal business name
- DOUG RICKS AND ASSOCIATES
- Practice address
- 2310 Longfibre Ave
Union Gap, WA 98903-1513 - Phone
- (509) 452-8730
- NPI assigned
- Apr 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Doug Ricks, O.D.
- Title
- President
- Phone
- (509) 452-8730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD60171104 | WA | Primary |
Addresses
Primary practice location
2310 Longfibre Ave
Union Gap, WA 98903-1513
Mailing address
1907 Wellington Dr
Yakima, WA 98903-1131
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334620800000",
"number": "1215294178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 WELLINGTON DR",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989031131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 LONGFIBRE AVE",
"city": "UNION GAP",
"state": "WA",
"postal_code": "989031513",
"telephone_number": "509-452-8730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUG RICKS AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-17",
"last_updated": "2012-04-17",
"status": "A",
"authorized_official_last_name": "RICKS",
"authorized_official_first_name": "DOUG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "509-452-8730",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "OD60171104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union Gap, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.