NPIMap

Organization Active NPI

Ellensburg Eye and Contact Lens Clinic

  • Optometrist
  • Ellensburg, WA
National Provider Identifier
1437249729
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2891 Issued in WA
Legal business name
ELLENSBURG EYE AND CONTACT LENS CLINIC
Practice address
511 N Pine St
Ellensburg, WA 98926-3119
Phone
(509) 925-1000
Fax
(509) 925-2474
NPI assigned
Oct 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert D Davis, O.D.NPI 1962578187
Title
Optometrist/Owner
Phone
(509) 925-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2891 WA Primary

Addresses

Primary practice location

511 N Pine St
Ellensburg, WA 98926-3119

Mailing address

511 N Pine St
Ellensburg, WA 98926-3119
Phone (509) 925-1000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437249729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N PINE ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263119",
            "telephone_number": "509-925-1000",
            "fax_number": "509-925-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N PINE ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263119",
            "telephone_number": "509-925-1000",
            "fax_number": "509-925-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENSBURG EYE AND CONTACT LENS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "509-925-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "2891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.