Organization Active NPI

Jeanette M. Stromme O.D. PLLC

Doing business as Wine Country Vision

  • Primary Care Clinic/Center
  • Yakima, WA
National Provider Identifier
1548595325
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
3993 Issued in WA
Legal business name
JEANETTE M. STROMME O.D. PLLC
Doing business as
Wine Country Vision
Practice address
111 University Pkwy
Suite 104
Yakima, WA 98901-1471
Phone
(509) 966-0675
Fax
(509) 966-0675
NPI assigned
Oct 12, 2009
Last updated
Oct 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

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

Authorized official

Name
Dr. Jeanette Stromme, O.D.NPI 1942325360
Title
Owner/Dr.
Phone
(509) 966-0675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 3993 WA Primary

Addresses

Primary practice location

111 University Pkwy
Suite 104
Yakima, WA 98901-1471

Mailing address

111 University Pkwy
Suite 104
Yakima, WA 98901-1471
Phone (509) 966-0675

Other identifiers 1

IdentifierTypeStateIssuer
2030971MedicaidWA

Other names 1

  • Wine Country Vision Doing business as

National Provider Directory

National Provider Directory

Locations

111 University Pkwy
#10
Yakima, WA 98901
Phone (509) 966-0675

111 University Pkwy
Ste 104
Yakima, WA 98901
Phone (509) 767-6447

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1548595325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 UNIVERSITY PKWY",
            "address_2": "SUITE 104",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011471",
            "telephone_number": "509-966-0675",
            "fax_number": "509-966-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 UNIVERSITY PKWY",
            "address_2": "SUITE 104",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011471",
            "telephone_number": "509-966-0675",
            "fax_number": "509-966-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE M. STROMME O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "STROMME",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER/DR.",
        "authorized_official_telephone_number": "509-966-0675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "3993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030971",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wine Country Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.