NPIMap

Organization Active NPI

Eye Doctors LTD PS

  • Optometrist
  • Marysville, WA
National Provider Identifier
1225005606
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00001007 Issued in WA
Legal business name
EYE DOCTORS LTD PS
Practice address
1083 Cedar Ave
Marysville, WA 98270-4232
Phone
(360) 659-1446
Fax
(360) 659-7324
NPI assigned
Mar 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. James M McCrum, OD
Title
Owner
Phone
(360) 659-1446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD00001007 WA Primary

Addresses

Primary practice location

1083 Cedar Ave
Marysville, WA 98270-4232

Mailing address

1083 Cedar Ave
Marysville, WA 98270-4232
Phone (360) 659-1446

Other identifiers 1

IdentifierTypeStateIssuer
2562205MedicaidWA

National Provider Directory

National Provider Directory

Locations

3726 Broadway
Ste 106
Everett, WA 98201
Phone (425) 252-2020

3202 Hoyt Ave
Everett, WA 98201
Phone (425) 252-2020

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1225005606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 CEDAR AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704232",
            "telephone_number": "360-659-1446",
            "fax_number": "360-659-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 CEDAR AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704232",
            "telephone_number": "360-659-1446",
            "fax_number": "360-659-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DOCTORS LTD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "MCCRUM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-659-1446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2562205",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.