NPIMap

Organization Active NPI

Elite Eye Care, Inc.

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1255764973
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WA3996 Issued in WA
Legal business name
ELITE EYE CARE, INC.
Practice address
720 SE 160TH Ave Ste 103
Vancouver, WA 98684-8912
Phone
(360) 816-4411
NPI assigned
Aug 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Dr. Mersedeh Safari Snider, O.D.
Title
Owner / Director
Phone
(360) 816-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X WA3996 WA Primary

Addresses

Primary practice location

720 SE 160TH Ave Ste 103
Vancouver, WA 98684-8912

Mailing address

720 SE 160TH Ave Ste 103
Vancouver, WA 98684-8912
Phone (360) 816-4411

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1255764973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SE 160TH AVE STE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848912",
            "telephone_number": "360-816-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SE 160TH AVE STE 103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848912",
            "telephone_number": "360-816-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "SAFARI SNIDER",
        "authorized_official_first_name": "MERSEDEH",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "360-816-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA3996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.