Eyewise Optometry Group, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD3762 Issued in WA

Legal business name

EYEWISE OPTOMETRY GROUP, INC.

Practice address

9000 NE Highway 99
Vancouver, WA 98665-8923

Phone

(360) 571-4095

Fax

(360) 687-0033

NPI assigned

Jan 6, 2015

Last updated

Jan 6, 2015By 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

Dr. Matthew Pearce, OD, MPH, FAAONPI 1457376691

Title

President

Phone

(360) 723-9010

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Pearce, OD, MPH

  • Optometrist
  • West Linn, OR
  • NPI 1457376691
  NPD Authorized official

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1407244981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SW 13TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986042800",
            "telephone_number": "360-723-9010",
            "fax_number": "360-687-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 NE HIGHWAY 99",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658923",
            "telephone_number": "360-571-4095",
            "fax_number": "360-687-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWISE OPTOMETRY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-723-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, MPH, FAAO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD3762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beth Ann Eyler, LICSW
• Beth Ann Fabel, OTR/L
• Megan M Faber, AAC
• Jill E Faccia, AGACNP
• Elizabeth Ann Fadel, LICSW

• Optometrist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.