PNW Eye Doctors PS

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PNW EYE DOCTORS PS

Practice address

11700 Mukilteo Speedway Ste 501
Mukilteo, WA 98275-5444

Phone

(503) 442-5558

NPI assigned

Nov 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Quang Nguyen, OD

Title

Co-President

Phone

(503) 442-5558

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1447896394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 236TH ST SW",
            "city": "BRIER",
            "state": "WA",
            "postal_code": "980368415",
            "telephone_number": "503-442-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 MUKILTEO SPEEDWAY STE 501",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755444",
            "telephone_number": "503-442-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNW EYE DOCTORS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "QUANG",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "503-442-5558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhi T Pham, D.D.S.
• Navdeep Singh Phambota, RC
• Randi Pickett, D.C
• Madeline Piediscalzi, ARNP
• Nicole Piggott, MA, LMHC, MHP, ATR
• Isabelle Poirier Gandal, RN
• Emily M Poirier, CCC-SLP
• Kelly Anne Porter, MSW
• Jared Pothier
• Shellee Potocki, MA, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.