Organization Active NPI

Doug Ricks and Associates

  • Optometrist
  • Union Gap, WA
National Provider Identifier
1215294178
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60171104 Issued in WA
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

Updated by the provider on Apr 17, 2012

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.