Organization Active NPI

Vision Plus Burlington, PLLC

  • Optometrist
  • Burlington, WA
National Provider Identifier
1477024008
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION PLUS BURLINGTON, PLLC
Practice address
855 S Alder St Ste a
Burlington, WA 98233-2808
Phone
(360) 755-9211
Fax
(360) 755-0501
NPI assigned
Dec 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Darcy Weeks
Title
Billing Manager
Phone
(360) 746-0970

Specialties & licenses 1

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

Addresses

Primary practice location

855 S Alder St Ste a
Burlington, WA 98233-2808

Mailing address

855 S Alder St Ste a
Burlington, WA 98233-2808
Phone (360) 755-9211

Other names 1

  • Vision Plus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190321001221 WA Part B Supplier - Clinic/Group Practice 9436499811 Receives reassigned benefits from 2 practitioners
Practice locations: Burlington, WA

National Provider Directory

National Provider Directory

Locations

855 S Alder St
Burlington, WA 98233

Practitioners & affiliated clinicians

Practitioners 3

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": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1477024008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S ALDER ST STE A",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332808",
            "telephone_number": "360-755-9211",
            "fax_number": "360-755-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S ALDER ST STE A",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332808",
            "telephone_number": "360-755-9211",
            "fax_number": "360-755-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PLUS BURLINGTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "DARCY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "360-746-0970"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.