Active NPI
Eric C Sorensen, MD
- Ophthalmology Physician
- Spokane, WA
National Provider Identifier
1346216298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 13754
- Practice address
- 421 W Riverside Ave
#280
Spokane, WA 99201-0405 - Phone
- (509) 838-2757
- Fax
- (509) 838-2184
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 13754 | WA | Primary |
Addresses
Primary practice location
421 W Riverside Ave
#280
Spokane, WA 99201-0405
Mailing address
421 W Riverside Ave
#280
Spokane, WA 99201-0405
Phone (509) 838-2757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1822808 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1346216298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 W RIVERSIDE AVE",
"address_2": "#280",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010405",
"telephone_number": "509-838-2757",
"fax_number": "509-838-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 W RIVERSIDE AVE",
"address_2": "#280",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010405",
"telephone_number": "509-838-2757",
"fax_number": "509-838-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "ERIC",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "13754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1822808",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.