Organization Active NPI

Lower Columbia Eye Clinic Inc PS

  • Ophthalmology Physician
  • Longview, WA
National Provider Identifier
1609944784
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LOWER COLUMBIA EYE CLINIC INC PS
Practice address
600 Triangle Center
Suite 400
Longview, WA 98632
Phone
(360) 423-0220
Fax
(360) 423-0697
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Mr. James E Hulbert, MDNPI 1215918735
Title
Owner
Phone
(360) 423-0220

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
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

600 Triangle Center
Suite 400
Longview, WA 98632

Mailing address

600 Triangle Center
Suite 400
Longview, WA 98632
Phone (360) 423-0220

Other identifiers 2

IdentifierTypeStateIssuer
DG4720OtherRAILROAD MEDICARE
7075443MedicaidWA

National Provider Directory

National Provider Directory

Locations

339 Triangle Shopping Mall
Longview, WA 98632
Phone (360) 423-0220

Practitioners & affiliated clinicians

Practitioners 1

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1609944784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TRIANGLE CENTER",
            "address_2": "SUITE 400",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-423-0220",
            "fax_number": "360-423-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TRIANGLE CENTER",
            "address_2": "SUITE 400",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-423-0220",
            "fax_number": "360-423-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER COLUMBIA EYE CLINIC INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "HULBERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-423-0220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG4720",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7075443",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.