Active NPI
Outlook Vision, Inc
- Optometrist
- Spokane Valley, WA
National Provider Identifier
1235314964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3859
- Legal business name
- OUTLOOK VISION, INC
- Practice address
- 15727 E Broadway Ave
Spokane Valley, WA 99037 - Phone
- (509) 926-0667
- Fax
- (509) 922-9849
- NPI assigned
- Dec 31, 2007
- 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. Nils W. Ohlsen, O.D.
- Title
- President
- Phone
- (509) 926-0667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3859 | WA | Primary |
Addresses
Primary practice location
15727 E Broadway Ave
Spokane Valley, WA 99037
Mailing address
PO Box 581
Liberty Lake, WA 99019-0581
Phone (509) 926-0667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2023851 | Medicaid | WA |
Other names 1
- Spokane Vision
National Provider Directory
National Provider DirectoryLocations
15727 E Broadway Ave
#9544
Spokane Valley, WA 99037
15727 E Broadway Ave
Spokane Valley, WA 99037
Phone (509) 795-5787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529280000000",
"number": "1235314964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 581",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190581",
"telephone_number": "509-926-0667",
"fax_number": "509-922-9849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15727 E BROADWAY AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "99037",
"telephone_number": "509-926-0667",
"fax_number": "509-922-9849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUTLOOK VISION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-31",
"last_updated": "2018-06-18",
"status": "A",
"authorized_official_last_name": "OHLSEN",
"authorized_official_first_name": "NILS",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "509-926-0667",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "3859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2023851",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Spokane Vision",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Spokane Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.