Active NPI
Physicians Optical
- Optician
- Yakima, WA
National Provider Identifier
1265653638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- PHYSICIANS OPTICAL
- Practice address
- 1109 W Spruce St
Yakima, WA 98902-3209 - Phone
- (509) 248-2700
- Fax
- (509) 248-2702
- NPI assigned
- May 1, 2007
- 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
- Mr. Jay David Ball, LDO
- Title
- Owner
- Phone
- (509) 248-2700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | WA | Primary |
Addresses
Primary practice location
1109 W Spruce St
Yakima, WA 98902-3209
Mailing address
1109 W Spruce St
Yakima, WA 98902-3209
Phone (509) 248-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2704906 | Other | WA | DSHS |
National Provider Directory
National Provider DirectoryLocations
1109 W Spruce St
Yakima, WA 98902
Phone (509) 248-2700
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": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265653638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 W SPRUCE ST",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023209",
"telephone_number": "509-248-2700",
"fax_number": "509-248-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 W SPRUCE ST",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023209",
"telephone_number": "509-248-2700",
"fax_number": "509-248-2702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BALL",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-248-2700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LDO"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS",
"identifier": "2704906",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.