NPIMap

Organization Active NPI

Afvc, PLLC

  • Optometrist
  • Arlington, WA
National Provider Identifier
1568636140
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
298442 Issued in WA
Legal business name
AFVC, PLLC
Practice address
16410 Smokey Point Blvd
#101
Arlington, WA 98223-8415
Phone
(360) 653-8711
NPI assigned
Apr 15, 2008
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Judy Smith Kandel, O.D.NPI 1114070299
Title
Agent/Owner
Phone
(360) 653-8711

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
Optometrist 152W00000X 298442 WA Primary

Addresses

Primary practice location

16410 Smokey Point Blvd
#101
Arlington, WA 98223-8415

Mailing address

16410 Smokey Point Blvd
#101
Arlington, WA 98223-8415
Phone (360) 653-8711

Other identifiers 2

IdentifierTypeStateIssuer
6025083951OtherWAWA STATE UBI
298442OtherWAAPPID

National Provider Directory

National Provider Directory

Locations

16410 Smokey Point Blvd
Ste 101
Arlington, WA 98223
Phone (360) 653-8711

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": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1568636140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16410 SMOKEY POINT BLVD",
            "address_2": "#101",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238415",
            "telephone_number": "360-653-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16410 SMOKEY POINT BLVD",
            "address_2": "#101",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238415",
            "telephone_number": "360-653-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFVC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "KANDEL",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "AGENT/OWNER",
        "authorized_official_telephone_number": "360-653-8711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "298442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE UBI",
            "identifier": "6025083951",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPID",
            "identifier": "298442",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.