Dupont Family Vision Clinic, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1618TX Issued in CA

Legal business name

DUPONT FAMILY VISION CLINIC, LLC

Practice address

1570 Wilmington Dr Ste 160
Dupont, WA 98327-8773

Phone

(253) 912-0900

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Steven Dale Shaffer

Title

Owner

Phone

(253) 912-0900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1457539884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 WILMINGTON DR STE 160",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278773",
            "telephone_number": "253-912-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 WILMINGTON DR STE 160",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278773",
            "telephone_number": "253-912-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPONT FAMILY VISION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-912-0900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "1618TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Downie, BCBA, LMFT
• Rebecca J Downs, RN
• Phoebe Droz
• Emily Dunn, LPN
• Dupont Chiropractic Center
• Dupont Pharmacy Inc
• Dupont Physical Therapy, Inc., P.S.
• Dupont Speech & Language
• Holly Elaine Durnal
• Petra Asuncion Esparza

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.