Organization Active NPI

Twilightvision Optometry, Corp

  • Optometrist
  • Olympia, WA
National Provider Identifier
1255619128
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60146389 Issued in NU
Legal business name
TWILIGHTVISION OPTOMETRY, CORP
Practice address
625 Black Lake Blvd SW Ste 110
Olympia, WA 98502-8603
Phone
(360) 943-1516
NPI assigned
Jul 26, 2011
Last updated
Oct 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Dr. Cindy Than
Title
Ceo
Phone
(360) 943-1516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60146389 NU Primary

Addresses

Primary practice location

625 Black Lake Blvd SW Ste 110
Olympia, WA 98502-8603

Mailing address

625 Black Lake Blvd SW Ste 110
Olympia, WA 98502-8603

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1255619128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BLACK LAKE BLVD SW STE 110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BLACK LAKE BLVD SW STE 110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028603",
            "telephone_number": "360-943-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWILIGHTVISION OPTOMETRY, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "THAN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-943-1516",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": "OD60146389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.