Joseph Wald OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JOSEPH WALD OD INC

Doing business as

Burlignton Vision Clinic

Practice address

406 E Fairhaven Ave
Burlington, WA 98233-1819

Phone

(360) 755-9211

NPI assigned

Aug 22, 2014

Last updated

Aug 22, 2014By 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

April Pell

Title

Front Office/Credentialing

Phone

(360) 755-9211

Specialties & licenses 1

Addresses

Other names 1

• Burlignton Vision Clinic Doing business as

Locations

Practitioners 1

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.

• Joseph S Wald, OD

  • Optometrist
  • Burlington, WA
  • NPI 1083797971
  NPD (past)

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1528467800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E FAIRHAVEN AVE",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331819",
            "telephone_number": "360-755-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E FAIRHAVEN AVE",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331819",
            "telephone_number": "360-755-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH WALD OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "PELL",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "FRONT OFFICE/CREDENTIALING",
        "authorized_official_telephone_number": "360-755-9211"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlignton Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth M Johnson, B.A., R.C.
• Gordon Macdonald Johnson, LD
• Rebecca Johnson, LMP
• Angelia Shelita Jordan
• Joseph S Wald Enterprises Inc
• Trisha Kathleen Tremper Justice, COTA
• Kathleen a Stambaugh, DDS PS
• Bonnie Keen
• Keith a. Salvatori, DMD, P.C.
• Jodie Lynn Kercheval

• Optometrist in Burlington, WA
• Providers in Burlington, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.