Active NPI
Whidbey Vision Care Inc PS
- Optometrist
- Oak Harbor, WA
National Provider Identifier
1497810071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00003987
- Legal business name
- WHIDBEY VISION CARE INC PS
- Practice address
- 380 SE Barrington Dr
Oak Harbor, WA 98277-3266 - Phone
- (360) 675-2235
- Fax
- (360) 679-2150
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Holli Johnson
- Title
- Administrator
- Phone
- (360) 675-2235
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00003150 | WA | |
| Optometrist | 152W00000X | OD00003901 | WA | |
| Optometrist | 152W00000X | OD00003987 | WA | Primary |
Addresses
Primary practice location
380 SE Barrington Dr
Oak Harbor, WA 98277-3266
Mailing address
380 SE Barrington Dr
Oak Harbor, WA 98277-3266
Phone (360) 675-2235
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006765 | Medicaid | WA | |
| 2030591 | Medicaid | WA | |
| 2031367 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
1832 Scott Rd
Ste A3
Freeland, WA 98249
Phone (360) 331-8424
1690 Main St
#103
Freeland, WA 98249
Phone (360) 331-8424
380 SE Barrington Dr
Oak Harbor, WA 98277
Phone (360) 675-2235
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Lacey, WA
- NPI 1043252323
-
- Low Vision Rehabilitation Optometrist
- Seattle, WA
- NPI 1598815037
-
- Optometrist
- Bellingham, WA
- NPI 1891873832
-
- Optometrist
- Burlington, WA
- NPI 1083797971
-
- Optometrist
- Seattle, WA
- NPI 1477753135
-
- Optometrist
- Corpus Christi, TX
- NPI 1558558437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459987200000",
"number": "1497810071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 SE BARRINGTON DR",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773266",
"telephone_number": "360-675-2235",
"fax_number": "360-679-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 SE BARRINGTON DR",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773266",
"telephone_number": "360-675-2235",
"fax_number": "360-679-2150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHIDBEY VISION CARE INC PS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2016-04-07",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "HOLLI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "360-675-2235"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003150",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003901",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2006765",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2030591",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2031367",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.