Active NPI
Vista Optometric
- Optometrist
- Wenatchee, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VISTA OPTOMETRIC
- Practice address
- 2000 N Wenatchee Ave
Wenatchee, WA 98801-1056 - Phone
- (509) 888-3370
- NPI assigned
- Jul 5, 2023
- Organization subpart
- Yes
- Parent organization
- VISTA OPTOMETRIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Russell Steven Lake, O.D.
- Title
- Optometrist
- Phone
- (760) 902-9758
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
2000 N Wenatchee Ave
Wenatchee, WA 98801-1056
Mailing address
2481 Easy St
Wenatchee, WA 98801-5814
Phone (760) 690-2975
Other practice location 1
108 N Apple Blossom Dr
Chelan, WA 98816-8679
Phone (509) 888-3370
National Provider Directory
National Provider Directory- Part of
- Vista Optometric
Locations
2000 N Wenatchee Ave
Wenatchee, WA 98801
Phone (509) 664-3698
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.
-
- Optometrist
- East Wenatchee, WA
- NPI 1720603392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688515200000",
"number": "1609554229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2481 EASY ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988015814",
"telephone_number": "760-690-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 N WENATCHEE AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988011056",
"telephone_number": "509-888-3370"
}
],
"practiceLocations": [
{
"address_1": "108 N Apple Blossom Dr",
"address_purpose": "LOCATION",
"city": "Chelan",
"state": "WA",
"postal_code": "988168679",
"country_code": "US",
"telephone_number": "509-888-3370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VISTA OPTOMETRIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VISTA OPTOMETRIC",
"enumeration_date": "2023-07-05",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A",
"authorized_official_last_name": "LAKE",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "760-902-9758",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.