NPIMap

Organization Active NPI

Eyewise Optometry Group

  • Optometrist
  • Battle Ground, WA
National Provider Identifier
1588083240
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003762 Issued in WA
Legal business name
EYEWISE OPTOMETRY GROUP
Practice address
1201 SW 13TH Ave
Battle Ground, WA 98604-2800
Phone
(360) 723-9010
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dr. Matthew Gordon Pearce, OD, MPHNPI 1457376691
Title
President
Phone
(360) 723-9010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD00003762 WA Primary

Addresses

Primary practice location

1201 SW 13TH Ave
Battle Ground, WA 98604-2800

Mailing address

1201 SW 13TH Ave
Battle Ground, WA 98604-2800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1588083240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SW 13TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986042800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SW 13TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986042800",
            "telephone_number": "360-723-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWISE OPTOMETRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-723-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, MPH"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.