Active NPI
Twilightvision Optometry, Corp
- Optometrist
- Olympia, WA
National Provider Identifier
1255619128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD60146389
- 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, 2011
- 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. Cindy Than
- Title
- Ceo
- Phone
- (360) 943-1516
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.