Organization Active NPI

First Hill Vision and Ballard Eye Physicians

  • Optometrist
  • Seattle, WA
National Provider Identifier
1528281813
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FIRST HILL VISION AND BALLARD EYE PHYSICIANS
Practice address
1801 NW Market St
Suite 107
Seattle, WA 98107-3987
Phone
(206) 783-3828
Fax
(206) 789-2261
NPI assigned
Apr 11, 2007
Organization subpart
Yes
Parent organization
FIRST HILL VISION AND BALLARD EYE PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Dr. Jon Tyler Conner, O.D.NPI 1487879714
Title
Owner
Phone
(206) 783-3828

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 Primary

Addresses

Primary practice location

1801 NW Market St
Suite 107
Seattle, WA 98107-3987

Mailing address

1801 NW Market St
Suite 107
Seattle, WA 98107-3987
Phone (206) 783-3828

Other identifiers 1

IdentifierTypeStateIssuer
2008829MedicaidWA

National Provider Directory

National Provider Directory
Part of
J Tyler Conner OD

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1528281813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NW MARKET ST",
            "address_2": "SUITE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073987",
            "telephone_number": "206-783-3828",
            "fax_number": "206-789-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NW MARKET ST",
            "address_2": "SUITE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073987",
            "telephone_number": "206-783-3828",
            "fax_number": "206-789-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST HILL VISION AND BALLARD EYE PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST HILL VISION AND BALLARD EYE PHYSICIANS",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-783-3828",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008829",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 17, 2014; 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.