NPIMap

Organization Active NPI

Outlook Vision, Inc

Doing business as Spokane Vision

  • Optometrist
  • Spokane Valley, WA
National Provider Identifier
1235314964
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3859 Issued in WA
Legal business name
OUTLOOK VISION, INC
Doing business as
Spokane Vision
Practice address
15727 E Broadway Ave
Spokane Valley, WA 99037
Phone
(509) 926-0667
Fax
(509) 922-9849
NPI assigned
Dec 31, 2007
Last updated
Jun 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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.NPI 1457358657
Title
President
Phone
(509) 926-0667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 names 1

  • Spokane Vision Doing business as

National Provider Directory

National Provider Directory

Locations

2301 W Wellesley Ave
Spokane, WA 99205
Phone (509) 327-0444

15727 E Broadway Ave
#9544
Spokane Valley, WA 99037

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": [],
    "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.

Verify at the official NPI Registry.