Organization Active NPI

Bellingham Family Eye Clinic PS

  • Eyewear Supplier
  • Bellingham, WA
National Provider Identifier
1629236773
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OD00001910 Issued in WA
Legal business name
BELLINGHAM FAMILY EYE CLINIC PS
Practice address
450 Birchwood Ave Ste B
Bellingham, WA 98225-1702
Phone
(360) 738-2020
Fax
(360) 733-5084
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Dr. Glenn D Green, OD
Title
Owner
Phone
(360) 738-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OD00001910 WA Primary

Addresses

Primary practice location

450 Birchwood Ave Ste B
Bellingham, WA 98225-1702

Mailing address

450-B Birchwood Ave
Bellingham, WA 98225-1750
Phone (360) 738-7700

National Provider Directory

National Provider Directory

Locations

450 Birchwood Ave
Ste B
Bellingham, WA 98225
Phone (360) 738-2020

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1629236773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450-B BIRCHWOOD AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251750",
            "telephone_number": "360-738-7700",
            "fax_number": "360-733-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BIRCHWOOD AVE STE B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251702",
            "telephone_number": "360-738-2020",
            "fax_number": "360-733-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM FAMILY EYE CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-738-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "OD00001910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.