Organization Active NPI

Oculus Eyecare, Inc.

  • Optometrist
  • Renton, WA
National Provider Identifier
1487855052
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OCULUS EYECARE, INC.
Practice address
743 Rainier Ave S
Renton, WA 98057-3204
Phone
(425) 227-9170
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Dr. Jeffry Woerner, O.D.
Title
President
Phone
(206) 818-6337

Specialties & licenses 1

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

Addresses

Primary practice location

743 Rainier Ave S
Renton, WA 98057-3204

Mailing address

910 Lenora St
310
Seattle, WA 98121-2754

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1487855052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 LENORA ST",
            "address_2": "310",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 RAINIER AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573204",
            "telephone_number": "425-227-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULUS EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "WOERNER",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-818-6337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.