Active NPI
Lower Valley Eye Care Inc.
- Optometrist
- Sunnyside, WA
National Provider Identifier
1306045497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1355TX
- Legal business name
- LOWER VALLEY EYE CARE INC.
- Practice address
- 326 S 9TH St
Sunnyside, WA 98944-1570 - Phone
- (509) 837-3005
- Fax
- (509) 837-3174
- NPI assigned
- Jul 17, 2007
- Organization subpart
- Yes
- Parent organization
- LOWER VALLEY EYE CARE INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth C Depew, OD
- Title
- Owner
- Phone
- (509) 837-3005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1355TX | WA | Primary |
Addresses
Primary practice location
326 S 9TH St
Sunnyside, WA 98944-1570
Mailing address
326 S 9TH St
Sunnyside, WA 98944-1570
Phone (509) 837-3005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5385690001 | Other | WA | DMERC |
| 2029155 | Medicaid | WA |
National Provider Directory
National Provider Directory- Part of
- Lower Valley Eye Care Inc
Locations
326 S 9th St
Sunnyside, WA 98944
Phone (509) 837-3005
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Kennewick, WA
- NPI 1154371037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247702400000",
"number": "1306045497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 S 9TH ST",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989441570",
"telephone_number": "509-837-3005",
"fax_number": "509-837-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 S 9TH ST",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989441570",
"telephone_number": "509-837-3005",
"fax_number": "509-837-3174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOWER VALLEY EYE CARE INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LOWER VALLEY EYE CARE INC.",
"enumeration_date": "2007-07-17",
"last_updated": "2009-07-16",
"status": "A",
"authorized_official_last_name": "DEPEW",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-837-3005",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "1355TX",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "5385690001",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2029155",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunnyside, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.