Organization Active NPI

Sumner Family Eyecare P.L.L.C.

  • Optometrist
  • Sumner, WA
National Provider Identifier
1396941902
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
602-735-861 Issued in WA
Legal business name
SUMNER FAMILY EYECARE P.L.L.C.
Practice address
1022 Main St
Sumner, WA 98390-1413
Phone
(253) 826-2020
Fax
(253) 826-9200
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Laura Ann Toepfer, O.D.
Title
Manager
Phone
(253) 826-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 602-735-861 WA Primary

Addresses

Primary practice location

1022 Main St
Sumner, WA 98390-1413

Mailing address

1022 Main St
Sumner, WA 98390-1413
Phone (253) 826-2020

Other identifiers 1

IdentifierTypeStateIssuer
2033421MedicaidWA

National Provider Directory

National Provider Directory

Locations

1022 Main St
Sumner, WA 98390
Phone (253) 826-2020

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1396941902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 MAIN ST",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901413",
            "telephone_number": "253-826-2020",
            "fax_number": "253-826-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 MAIN ST",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901413",
            "telephone_number": "253-826-2020",
            "fax_number": "253-826-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER FAMILY EYECARE P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "TOEPFER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-826-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "602-735-861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2033421",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, WA

Sources for this page

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