Individual provider Active NPI

Rosa Yanely Bustamante Reyes, OPTI.DO.70120069

  • Optician
  • Vancouver, WA
National Provider Identifier
1225971807
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
OPTI.DO.70120069 Issued in WA
Practice address
7017 NE Highway 99 Ste 202
Vancouver, WA 98665-0553
Phone
(360) 694-0760
Fax
(360) 694-1091
NPI assigned
Apr 10, 2026
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X OPTI.DO.70120069 WA Primary

Addresses

Primary practice location

7017 NE Highway 99 Ste 202
Vancouver, WA 98665-0553

Mailing address

807 NE 163Rd Ave Apt B
Vancouver, WA 98684-9669
Phone (360) 771-7885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPTI.DO.70120069WAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Brittain Eye Care, PS PastSince Aug 3, 2009 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1225971807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 NE 163RD AVE APT B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986849669",
            "telephone_number": "360-771-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 NE HIGHWAY 99 STE 202",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650553",
            "telephone_number": "360-694-0760",
            "fax_number": "360-694-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE REYES",
        "first_name": "ROSA",
        "middle_name": "YANELY",
        "credential": "OPTI.DO.70120069",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "OPTI.DO.70120069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.