Organization Active NPI

Mount Pilchuck Eyecare

  • Optometrist
  • Marysville, WA
National Provider Identifier
1326618026
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MOUNT PILCHUCK EYECARE
Practice address
8713 64TH St NE
Marysville, WA 98270-7704
Phone
(813) 310-9238
NPI assigned
Jun 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Dr. Prajakta Joshi, OD
Title
Optomterist/Owner
Phone
(813) 310-9238

Specialties & licenses 1

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

Addresses

Primary practice location

8713 64TH St NE
Marysville, WA 98270-7704

Mailing address

8713 64TH St NE
Marysville, WA 98270-7704
Phone (813) 310-9238

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mountpilchuck Direct

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": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1326618026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8713 64TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707704",
            "telephone_number": "813-310-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8713 64TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982707704",
            "telephone_number": "813-310-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT PILCHUCK EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "PRAJAKTA",
        "authorized_official_title_or_position": "OPTOMTERIST/OWNER",
        "authorized_official_telephone_number": "813-310-9238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mountpilchuck",
            "affiliation": "N",
            "endpointDescription": "EHI",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "8713 64th St NE",
            "city": "Marysville",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982707704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.