NPIMap

Organization Active NPI

Idaho Falls Vision Center Chartered

  • Optometrist
  • Monroe, WA
National Provider Identifier
1386811404
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1570TX Issued in WA
Legal business name
IDAHO FALLS VISION CENTER CHARTERED
Practice address
20231 209TH Ave SE
Monroe, WA 98272-9371
Phone
(360) 757-5513
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Michael J Saul, O.D.
Title
Optometrist
Phone
(425) 268-8496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1570TX WA Primary

Addresses

Primary practice location

20231 209TH Ave SE
Monroe, WA 98272-9371

Mailing address

600 Cascade Mall Dr
Burlington, WA 98233-3260
Phone (360) 757-5513

National Provider Directory

National Provider Directory

Locations

600 Cascade Mall Dr
Burlington, WA 98233
Phone (360) 757-1676

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1386811404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CASCADE MALL DR",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333260",
            "telephone_number": "360-757-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20231 209TH AVE SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729371",
            "telephone_number": "360-757-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO FALLS VISION CENTER CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "SAUL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "425-268-8496",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1570TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.