Eyes Rite Optical Group LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO1643 Issued in WA

Legal business name

EYES RITE OPTICAL GROUP LLC

Doing business as

Eyes Rite Optical

Practice address

311 Telegraph Rd
Bellingham, WA 98226-8751

Phone

(360) 733-3565

NPI assigned

Jan 30, 2007

Last updated

Apr 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Katherine Bordeville, OPTICIAN

Title

Office Manager

Phone

(360) 733-3565

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eyes Rite Optical Doing business as

Locations

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.

• Alfred Bordeville, LDO,ABO

  • Optician
  • Bellingham, WA
  • NPI 1033970702
  NPD (past)
• Edward Lawrence Jones, O.D.

  • Hearing Instrument Specialist
  • Kent, WA
  • NPI 1164590030
  NPD (past)
• Aleksey Shkurat, O.D.

  • Optometrist
  • Bellingham, WA
  • NPI 1194034272
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1497891725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 TELEGRAPH RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268751",
            "telephone_number": "360-733-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 TELEGRAPH RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268751",
            "telephone_number": "360-733-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES RITE OPTICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "BORDEVILLE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-733-3565",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "DO1643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1028154",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026581",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes Rite Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eyes Rite Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannette Marie Evraets, RN LAC
• Lucinda Ewing, RN
• Excel Physical Therapy Inc.
• Expanding Visions Counseling PLLC
• Eyeco Optometry PS (Vision Plus)
• Chad Faaborg, DC
• Emily Elizabeth Fagerquist, LPN
• Richard Louis Faiola, MD
• Gabrielle Fairbanks, LMFT, MHP, RHT
• Kristen Fairbanks, MSW

• Optician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.