NPIMap

Organization Active NPI

Ellensburg Vision Clinic, PS, Inc

  • Optometrist
  • Ellensburg, WA
National Provider Identifier
1336267152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000788TX Issued in WA
Legal business name
ELLENSBURG VISION CLINIC, PS, INC
Practice address
301 E 2ND Ave
Ellensburg, WA 98926-3315
Phone
(509) 925-9873
Fax
(509) 962-1639
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Byron E Thomas, O.D.NPI 1447267224
Title
Owner
Phone
(509) 925-9873

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 000788TX WA Primary

Addresses

Primary practice location

301 E 2ND Ave
Ellensburg, WA 98926-3315

Mailing address

PO Box 688
Ellensburg, WA 98926-0688
Phone (509) 925-9873

Other identifiers 2

IdentifierTypeStateIssuer
1447267224OtherWANPI NUMBER
1841204260OtherWANPI NUMBER

Other names 1

  • Family Eye Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336267152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989260688",
            "telephone_number": "509-925-9873",
            "fax_number": "509-962-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 2ND AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263315",
            "telephone_number": "509-925-9873",
            "fax_number": "509-962-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENSBURG VISION CLINIC, PS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-925-9873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "000788TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1447267224",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1841204260",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellensburg, 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.

Verify at the official NPI Registry.