Organization Active NPI

Valley Eye Clinic & Optical P.a.

  • Optometrist
  • Washington, MO
National Provider Identifier
1396059549
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2776 Issued in MN
Legal business name
VALLEY EYE CLINIC & OPTICAL P.A.
Practice address
901 E 3Rd St
Washington, MO 63090-3010
Phone
(636) 390-3999
Fax
(636) 390-3959
NPI assigned
Jul 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
David H Hess, ODNPI 1588738298
Title
Owner
Phone
(612) 486-1749

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 2776 MN Primary

Addresses

Primary practice location

901 E 3Rd St
Washington, MO 63090-3010

Mailing address

1431 Beam Ave
Maplewood, MN 55109-1064
Phone (612) 486-1749

National Provider Directory

National Provider Directory
Tax ID family
Valley Eye Clinic Optical PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

901 E 3rd St
Washington, MO 63090
Phone (636) 390-3999

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": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1396059549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 BEAM AVE",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091064",
            "telephone_number": "612-486-1749",
            "fax_number": "612-486-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 3RD ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903010",
            "telephone_number": "636-390-3999",
            "fax_number": "636-390-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EYE CLINIC & OPTICAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-486-1749",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.