Eye Craft, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD34429 Issued in WA

Legal business name

EYE CRAFT, PLLC

Practice address

14031 Ambaum Blvd SW
Burien, WA 98166-1255

Phone

(206) 243-9378

Fax

(206) 244-4550

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dean M Conger, M.D.NPI 1750386165

Title

Owner

Phone

(206) 243-9378

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Dean M Conger, MD

  • Ophthalmology Physician
  • Burien, WA
  • NPI 1750386165
  NPD (past) Authorized official

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1457513004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14031 AMBAUM BLVD SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661255",
            "telephone_number": "206-243-9378",
            "fax_number": "206-244-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14031 AMBAUM BLVD SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661255",
            "telephone_number": "206-243-9378",
            "fax_number": "206-244-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CRAFT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "CONGER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-243-9378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD34429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1102086",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Burien, WA
• Providers in Burien, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.