NPIMap

Organization Active NPI

Clearly Lasik, Inc.

  • Ophthalmology Physician
  • Kennewick, WA
National Provider Identifier
1356508626
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
40602 Issued in WA
Legal business name
CLEARLY LASIK, INC.
Practice address
8904 W Tucannon Ave
Suite B
Kennewick, WA 99336-7178
Phone
(509) 374-3880
Fax
(509) 374-3881
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Christian Monea
Title
Coo/Cfo
Phone
(425) 525-2206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 40602 WA Primary

Addresses

Primary practice location

8904 W Tucannon Ave
Suite B
Kennewick, WA 99336-7178

Mailing address

8904 W Tucannon Ave
Suite B
Kennewick, WA 99336-7178
Phone (509) 374-3880

National Provider Directory

National Provider Directory
Tax ID family
Clearly Lasik Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8904 W Tucannon Ave
Ste B
Kennewick, WA 99336
Phone (509) 783-8145

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1356508626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8904 W TUCANNON AVE",
            "address_2": "SUITE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367178",
            "telephone_number": "509-374-3880",
            "fax_number": "509-374-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8904 W TUCANNON AVE",
            "address_2": "SUITE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367178",
            "telephone_number": "509-374-3880",
            "fax_number": "509-374-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARLY LASIK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "MONEA",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "425-525-2206"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "40602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.