Edmonds Vision Center PS Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3276 Issued in WA

Legal business name

EDMONDS VISION CENTER PS INC

Practice address

201 5TH Ave S Ste 102
Edmonds, WA 98020

Phone

(425) 771-7772

Fax

(425) 775-9973

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Arthur Ying Wong, O.D.NPI 1811098262

Title

Optometrist Owner

Phone

(425) 771-7772

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arthur Y Wong, O.D.

  • Optometrist
  • Edmonds, WA
  • NPI 1811098262
  Medicare reassignment Care Compare group NPD Authorized official
• Kathleen R Wong, O.D.

  • Optometrist
  • Edmonds, WA
  • NPI 1962503227
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1437225430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 5TH AVE S STE 102",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203646",
            "telephone_number": "425-771-7772",
            "fax_number": "425-775-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 5TH AVE S STE 102",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "98020",
            "telephone_number": "425-771-7772",
            "fax_number": "425-775-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDS VISION CENTER PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "YING",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "425-771-7772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024537",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024958",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024966",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edmonds Oral & Facial Surgery
• Edmonds Oral Surgery, P.S.
• Edmonds Physical Therapy & Sports Rehab
• Edmonds Psychological and Pastoral Care
• Edmonds Rheumatology Associates Incorporated
• Edmonds Wellness Clinic
• Edmonds Wellness Clinic, Inc
• Edmonds Wellness Massage and Acupuncture
• Edmonds-Woodway Chiropractic LLC
• Josephine Jessie Gidel Edmondson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.