Paul W. Donnelly

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

DO00000478 Issued in WA

Legal business name

PAUL W. DONNELLY

Practice address

108 22ND Ave SW
Suite 2
Olympia, WA 98501-2871

Phone

(360) 352-3140

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul W Donnelly, OPTICIAN

Title

Owner

Phone

(360) 352-3140

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CLINTWORTH OPTICAL Doing business as

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1316169709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 22ND AVE SW",
            "address_2": "SUITE 2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012871",
            "telephone_number": "360-352-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 22ND AVE SW",
            "address_2": "SUITE 2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012871",
            "telephone_number": "360-352-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W. DONNELLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-352-3140",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "DO00000478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAUL DONNELLY NPI",
            "identifier": "1750405320",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINTWORTH OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen Lael Pattillo, RN LAC
• Sabre Amira Patton-Fee
• Deepti Paturi, DO
• Franklin Paudler
• Paul J Allen MD PLLC
• Katie Lorraine Pauley, ARNP
• Nathan Erik Paull
• Nathaniel Beecher Paull, M.D.
• Amanda Lyn Paulson, CST
• Sherrie Pavlovic, R.N.

• Eyewear Supplier in Olympia, WA
• Providers in Olympia, WA by specialty
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.