Spyglass Optik, P.S.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003871 Issued in WA

Legal business name

SPYGLASS OPTIK, P.S.

Practice address

11 Bellwether Way
Ste 104
Bellingham, WA 98225-2957

Phone

(360) 671-7107

Fax

(360) 312-5471

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Alan Young, O.D.

Title

President

Phone

(360) 671-7107

Specialties & licenses 1

Addresses

Other identifiers 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": "1290384000000",
    "number": "1407941701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BELLWETHER WAY",
            "address_2": "STE 104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252957",
            "telephone_number": "360-671-7107",
            "fax_number": "360-312-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BELLWETHER WAY",
            "address_2": "STE 104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252957",
            "telephone_number": "360-671-7107",
            "fax_number": "360-312-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPYGLASS OPTIK, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-671-7107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031631",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Christine Sprague, MA61496549
• Anne E Spreng
• Gabriel E Springsnow, LMP
• Sandra Jo Sproule, PT
• Sprouts NW LLC
• Squalicum Surgical Associates, PLLC
• Eileen Mary Squires, OTRL
• Patrick Gerard Squires, O.D.
• Tibursious Ssendawula
• SSM Evergreen Enterprises, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.