Family Vision Care of Yakima PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003724 Issued in WA

Legal business name

FAMILY VISION CARE OF YAKIMA PC

Doing business as

Family Vision Care PS

Practice address

3907 Castlevale Rd
Yakima, WA 98902-7802

Phone

(509) 248-5378

Fax

(509) 248-5740

NPI assigned

Sep 2, 2006

Last updated

Jul 11, 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

Seth T Copeland, ODNPI 1881796845

Title

President

Phone

(509) 248-5378

Specialties & licenses 1

Addresses

Other names 1

• Family Vision Care PS Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 6

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.

• Seth T Copeland, OD

  • Optometrist
  • Yakima, WA
  • NPI 1881796845
  Medicare reassignment Care Compare group NPD Authorized official
• Douglas Robert Ricks, O.D.

  • Optometrist
  • Union Gap, WA
  • NPI 1578871265
  Medicare reassignment Care Compare group NPD
• Mark M Ward, O.D.

  • Optometrist
  • Yakima, WA
  • NPI 1679525273
  Medicare reassignment Care Compare group NPD
• Gary J Martinkus, OD

  • Optometrist
  • Yakima, WA
  • NPI 1699868588
  NPD (past)
• Byron Eugene Thomas, O.D.

  • Optometrist
  • Ellensburg, WA
  • NPI 1447267224
  NPD (past)
• Donald Leon Peterson, OD

  • Optometrist
  • Redmond, OR
  • NPI 1215939137
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1558463208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 CASTLEVALE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027802",
            "telephone_number": "509-248-5378",
            "fax_number": "509-248-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 CASTLEVALE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027802",
            "telephone_number": "509-248-5378",
            "fax_number": "509-248-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CARE OF YAKIMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-248-5378",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Care PS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Faith, RN
• Parker Faith
• Constance Anna Fallstrom, PT
• Robert Lewis Fallstrom, D.O.
• Family Counseling & Autism Consulting
• Guofang Fan, RDH
• Adolfina Lizbet Farias-Mendoza
• Fredy Farias-Sanchez
• Elizabeth Farias
• Jovani Cristian Farias

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.