NPIMap

Organization Active NPI

Tri-Cities Eyecare Center LLC

  • Optometrist
  • Kennewick, WA
National Provider Identifier
1487070017
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD4150 Issued in WA
Legal business name
TRI-CITIES EYECARE CENTER LLC
Practice address
8505 W Gage Blvd
Kennewick, WA 99336-8120
Phone
(509) 737-8868
NPI assigned
Mar 6, 2014
Last updated
Mar 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Dr. Jared Beck Christensen, OD
Title
President
Phone
(509) 783-1939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD4150 WA Primary

Addresses

Primary practice location

8505 W Gage Blvd
Kennewick, WA 99336-8120

Mailing address

8505 W Gage Blvd
Kennewick, WA 99336-8120
Phone (509) 737-8868

National Provider Directory

National Provider Directory

Locations

8505 W Gage Blvd
#A
Kennewick, WA 99336
Phone (509) 727-8868

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1487070017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368120",
            "telephone_number": "509-737-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368120",
            "telephone_number": "509-737-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES EYECARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "BECK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-783-1939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD4150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.