Active NPI
Alison D Fujisaki, OD
- Optometrist
- Vancouver, WA
National Provider Identifier
1558458158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3169T
- Practice address
- 16420 SE McGillivray Blvd
Suite 105
Vancouver, WA 98683 - Phone
- (360) 253-3972
- Fax
- (360) 253-5476
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3169T | WA | Primary |
Addresses
Primary practice location
16420 SE McGillivray Blvd
Suite 105
Vancouver, WA 98683
Mailing address
16420 SE McGillivray Blvd
Suite 105
Vancouver, WA 98683
Phone (360) 253-3972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2021111 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3169T | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Optical Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1558458158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16420 SE MCGILLIVRAY BLVD",
"address_2": "SUITE 105",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98683",
"telephone_number": "360-253-3972",
"fax_number": "360-253-5476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16420 SE MCGILLIVRAY BLVD",
"address_2": "SUITE 105",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98683",
"telephone_number": "360-253-3972",
"fax_number": "360-253-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUJISAKI",
"first_name": "ALISON",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3169T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2021111",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.