Active NPI
Jjal PS
- Optometrist
- Tacoma, WA
National Provider Identifier
1427231968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 00001911
- Legal business name
- JJAL PS
- Practice address
- 766 St Helens Ave
Tacoma, WA 98402-3706 - Phone
- (253) 627-8711
- Fax
- (253) 627-1104
- NPI assigned
- Dec 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Douglas McDowall, OD
- Title
- President
- Phone
- (253) 627-8711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 00001911 | WA | Primary |
Addresses
Primary practice location
766 St Helens Ave
Tacoma, WA 98402-3706
Mailing address
766 St Helens Ave
Tacoma, WA 98402-3706
Phone (253) 627-8711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2029841 | Medicaid | WA |
Other names 1
- Downtown Vision Center
National Provider Directory
National Provider DirectoryLocations
766 St Helens Ave
Tacoma, WA 98402
Phone (253) 627-8711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236902400000",
"number": "1427231968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "766 ST HELENS AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023706",
"telephone_number": "253-627-8711",
"fax_number": "253-627-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "766 ST HELENS AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984023706",
"telephone_number": "253-627-8711",
"fax_number": "253-627-1104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JJAL PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-06",
"last_updated": "2009-03-13",
"status": "A",
"authorized_official_last_name": "MCDOWALL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "253-627-8711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "00001911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2029841",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Downtown Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.