Organization Active NPI

Jjal PS

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1427231968
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00001911 Issued in WA
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

Updated by the provider on Mar 13, 2009

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2029841MedicaidWA

Other names 1

  • Downtown Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.