Organization Active NPI

Pacific Vision Care Center, Inc., P.S.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1487770434
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003076 Issued in WA
Legal business name
PACIFIC VISION CARE CENTER, INC., P.S.
Practice address
900 S Jackson St
Suite 216
Seattle, WA 98104-3058
Phone
(206) 838-1096
Fax
(206) 838-1093
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Zhongjian Qian, O.D.NPI 1528183092
Title
President
Phone
(206) 838-1096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD00003076 WA Primary

Addresses

Primary practice location

900 S Jackson St
Suite 216
Seattle, WA 98104-3058

Mailing address

900 S Jackson St
Suite 216
Seattle, WA 98104-3058
Phone (206) 838-1096

Other names 1

  • Pacific Vision Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

900 S Jackson St
Ste 216
Seattle, WA 98104
Phone (206) 838-1096

Practitioners & affiliated clinicians

Practitioners 1

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1487770434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S JACKSON ST",
            "address_2": "SUITE 216",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043058",
            "telephone_number": "206-838-1096",
            "fax_number": "206-838-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S JACKSON ST",
            "address_2": "SUITE 216",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043058",
            "telephone_number": "206-838-1096",
            "fax_number": "206-838-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC VISION CARE CENTER, INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "QIAN",
        "authorized_official_first_name": "ZHONGJIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-838-1096",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Vision Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.