NPIMap

Organization Active NPI

Dr Lisa Fougere and Associates Inc PS

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1447357629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD3193TX Issued in WA
Legal business name
DR LISA FOUGERE AND ASSOCIATES INC PS
Practice address
1019 Main St
Vancouver, WA 98660-3150
Phone
(360) 694-2121
Fax
(360) 696-9632
NPI assigned
Sep 20, 2006
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. Lisa Ann Fougere, O.D.
Title
President
Phone
(360) 694-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD3193TX WA Primary

Addresses

Primary practice location

1019 Main St
Vancouver, WA 98660-3150

Mailing address

1019 Main St
Vancouver, WA 98660-3150
Phone (360) 694-2121

National Provider Directory

National Provider Directory

Locations

1019 Main St
Vancouver, WA 98660
Phone (360) 694-2121

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447357629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603150",
            "telephone_number": "360-694-2121",
            "fax_number": "360-696-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 MAIN ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603150",
            "telephone_number": "360-694-2121",
            "fax_number": "360-696-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LISA FOUGERE AND ASSOCIATES INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOUGERE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-694-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD3193TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, 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.