Organization Active NPI

Pacific Vision & Hearing, PLLC

  • Optometrist
  • University Place, WA
National Provider Identifier
1235189549
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4005 Issued in WA
Legal business name
PACIFIC VISION & HEARING, PLLC
Practice address
3800 Bridgeport Way W
Suite A358
University Place, WA 98466-4495
Phone
(253) 347-7339
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Dr. Scott L Beasley, O.D.NPI 1578513008
Title
Owner
Phone
(253) 347-7339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4005 WA Primary

Addresses

Primary practice location

3800 Bridgeport Way W
Suite A358
University Place, WA 98466-4495

Mailing address

3800 Bridgeport Way W
Suite a 358
University Place, WA 98466-4495
Phone (253) 347-7339

National Provider Directory

National Provider Directory

Locations

4620 Pacific Ave
Tacoma, WA 98408
Phone (252) 473-3443

3800 Bridgeport Way W
Ste A358
University Place, WA 98466
Phone (253) 347-7339

Practitioners & affiliated clinicians

Practitioners 1

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1235189549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 BRIDGEPORT WAY W",
            "address_2": "SUITE A 358",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664495",
            "telephone_number": "253-347-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 BRIDGEPORT WAY W",
            "address_2": "SUITE A358",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664495",
            "telephone_number": "253-347-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC VISION & HEARING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-347-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "4005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.