Patrick Squires, O.D., LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PATRICK SQUIRES, O.D., LLC

Practice address

2421 Yew Street Rd
Bellingham, WA 98229-8811

Phone

(360) 820-0665

Fax

(360) 733-5585

NPI assigned

Nov 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Squires, O.D.

Title

Owner

Phone

(360) 820-0665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1417425943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29317",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982281317",
            "telephone_number": "360-820-0665",
            "fax_number": "360-733-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 YEW STREET RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982298811",
            "telephone_number": "360-820-0665",
            "fax_number": "360-733-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK SQUIRES, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-820-0665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Naturally, Inc.
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• Patrick Squires OD and Associates, Inc.
• Aubrie Patterson
• Brian M Patterson, MD
• Emily Lane Patterson
• Stephanie Pattison, LMHC
• Stacy Jo Paul, MA 60239038

• 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 2, 2018; 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.