Dean Hattan OD – Optometrist in Clarkston, WA

Key facts

NPI: 1629047360
Entity type: Organization (NPI type 2)
Primary specialty: Optometrist 152W00000X
Legal business name: DEAN HATTAN OD
Practice address: 301 5TH St
Clarkston, WA 99403-1860
Phone: (509) 758-0205
Fax: (509) 751-0610
NPI assigned: Mar 15, 2006
Organization subpart: No

Authorized official

Name: Dean H Hattan, OD NPI 1174592877
Title: Owner
Phone: (509) 758-0205

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

Practitioners 1

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

Dean H Hattan, OD Optometrist · Acoma, NM · NPI 1174592877

NPD (past) Authorized official OPTOMETRIST

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist Group: 193400000X SINGLE SPECIALTY GROUP	152W00000X			Yes

Addresses

Primary practice location

301 5TH St
Clarkston, WA 99403-1860

Mailing address

PO Box 127
Clarkston, WA 99403-0127
Phone (509) 758-0205

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 25, 2007.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1629047360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994030127",
            "telephone_number": "509-758-0205",
            "fax_number": "509-751-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 5TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994031860",
            "telephone_number": "509-758-0205",
            "fax_number": "509-751-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN HATTAN OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "HATTAN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-758-0205",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, WA

All providers in Clarkston, WA · Optometrist in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.