NPIMap

Organization Active NPI

Eye & Laser Physicians of Walla Walla

  • Ophthalmology Physician
  • Walla Walla, WA
National Provider Identifier
1255379798
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00034061 Issued in WA
Legal business name
EYE & LASER PHYSICIANS OF WALLA WALLA
Practice address
299 W Tietan St
Walla Walla, WA 99362-4363
Phone
(509) 525-2100
Fax
(509) 522-0313
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Linda Anne Gunshefski, MDNPI 1659321354
Title
Owner/Physician
Phone
(509) 525-2100

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
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X MD00034061 WA Primary

Addresses

Primary practice location

299 W Tietan St
Walla Walla, WA 99362-4363

Mailing address

299 W Tietan
Walla Walla, WA 99362-3131
Phone (509) 525-2100

National Provider Directory

National Provider Directory

Locations

299 W Tietan St
Walla Walla, WA 99362
Phone (509) 525-2100

Practitioners & affiliated clinicians

Practitioners 6

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1255379798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W TIETAN",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623131",
            "telephone_number": "509-525-2100",
            "fax_number": "509-525-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 W TIETAN ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624363",
            "telephone_number": "509-525-2100",
            "fax_number": "509-522-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE & LASER PHYSICIANS OF WALLA WALLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "GUNSHEFSKI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "509-525-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00034061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.