Prismoid Optical Laboratory, Inc Dba Bec'S Specs

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

PRISMOID OPTICAL LABORATORY, INC DBA BEC'S SPECS

Practice address

216 E 5TH St Ste a
Port Angeles, WA 98362-3008

Phone

(360) 417-1244

Fax

(360) 417-1245

NPI assigned

Jan 31, 2019

Organization subpart

Yes

Parent organization

BEC'S SPECSAs reported in NPPES

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

Authorized official

Name

Becky Doherty, LDO

Title

Owner/Optician

Phone

(360) 417-1244

Specialties & licenses 1

Addresses

Other names 1

• Bec's Specs Doing business as

Part of

Prismoid Optical Laboratory Inc Dba Bec'S Specs

Locations

Practitioners 1

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

• Rebecca E Doherty, LDO

  • Optician
  • Port Angeles, WA
  • NPI 1750846093
  NPD (past)

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1245795574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 774",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620134",
            "telephone_number": "360-417-1244",
            "fax_number": "360-417-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E 5TH ST STE A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623008",
            "telephone_number": "360-417-1244",
            "fax_number": "360-417-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMOID OPTICAL LABORATORY, INC DBA BEC'S SPECS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEC'S SPECS",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "360-417-1244",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bec's Specs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.