Northwest Optical Vision Center Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO00001821 Issued in WA

Legal business name

NORTHWEST OPTICAL VISION CENTER INC.

Doing business as

Northwest Optical

Practice address

7501 Bridgeport Way W Ste C
Lakewood, WA 98499-2423

Phone

(253) 572-5498

Fax

(253) 409-2841

NPI assigned

Oct 3, 2006

Last updated

May 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dorothy May Jackl, L.D.O

Title

Optician/President

Phone

(253) 572-5498

Specialties & licenses 1

Addresses

Other names 1

• Northwest Optical Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1396839197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 BRIDGEPORT WAY W STE C",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992423",
            "telephone_number": "253-572-5498",
            "fax_number": "253-409-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 BRIDGEPORT WAY W STE C",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992423",
            "telephone_number": "253-572-5498",
            "fax_number": "253-409-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OPTICAL VISION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "JACKL",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "OPTICIAN/PRESIDENT",
        "authorized_official_telephone_number": "253-572-5498",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.D.O"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "DO00001821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwoptical@wamail.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7501 Bridgeport Way W Ste C",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984992423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Northwest Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.