Organization Active NPI

Moua Eyecare PLLC

  • Optometrist
  • Battle Ground, WA
National Provider Identifier
1275190407
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MOUA EYECARE PLLC
Practice address
1201 SW 13TH Ave
Battle Ground, WA 98604-2800
Phone
(360) 723-9010
NPI assigned
May 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Authorized official

Name
Vally Moua
Title
Owner/Optometrist
Phone
(509) 990-8163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1201 SW 13TH Ave
Battle Ground, WA 98604-2800

Mailing address

1201 SW 13TH Ave
Battle Ground, WA 98604-2800

National Provider Directory

National Provider Directory

Locations

1201 SW 13th Ave
Battle Ground, WA 98604
Phone (360) 723-9007

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1275190407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SW 13TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986042800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SW 13TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986042800",
            "telephone_number": "360-723-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUA EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "MOUA",
        "authorized_official_first_name": "VALLY",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "509-990-8163"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.