Organization Active NPI

DW Family Eye Care PLLC

Doing business as Valley View

  • Optometrist
  • Brewster, WA
National Provider Identifier
1497415087
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DW FAMILY EYE CARE PLLC
Doing business as
Valley View
Valley Vision
Practice address
123 Hospital Way
Brewster, WA 98812-0015
Phone
(509) 689-2342
Fax
(509) 689-9207
NPI assigned
Dec 22, 2021
Last updated
Jun 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Brandon Watson, ODNPI 1770004392
Title
Optometrist
Phone
(208) 305-9694

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

123 Hospital Way
Brewster, WA 98812-0015

Mailing address

PO Box 783
Hayden, ID 83835-0783
Phone (509) 689-2342

Other names 2

  • Valley View Doing business as
  • Valley Vision Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220322001759 WA Part B Supplier - Clinic/Group Practice 8224423629 Receives reassigned benefits from 2 practitioners
Practice locations: Brewster, WA

National Provider Directory

National Provider Directory

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": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1497415087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838350783",
            "telephone_number": "509-689-2342",
            "fax_number": "509-689-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HOSPITAL WAY",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988120015",
            "telephone_number": "509-689-2342",
            "fax_number": "509-689-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DW FAMILY EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "208-305-9694",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley View",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewster, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.