NPIMap

Organization Active NPI

Eye and Ear Clinic of Wenatchee Inc PS

  • Audiologist-Hearing Aid Fitter
  • Wenatchee, WA
National Provider Identifier
1649252693
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
EYE AND EAR CLINIC OF WENATCHEE INC PS
Practice address
933 Red Apple Rd
Suite 100
Wenatchee, WA 98801-3370
Phone
(509) 662-7143
Fax
(509) 665-4301
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Mr. Ed P Taylor
Title
Administrator
Phone
(509) 662-7143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

933 Red Apple Rd
Suite 100
Wenatchee, WA 98801-3370

Mailing address

PO Box 3027
Wenatchee, WA 98807-3027
Phone (509) 662-7143

Other identifiers 1

IdentifierTypeStateIssuer
9043472MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Eye and Ear Clinic of Wenatchee Inc PS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1649252693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3027",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988073027",
            "telephone_number": "509-662-7143",
            "fax_number": "509-665-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 RED APPLE RD",
            "address_2": "SUITE 100",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013370",
            "telephone_number": "509-662-7143",
            "fax_number": "509-665-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE AND EAR CLINIC OF WENATCHEE INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ED",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-662-7143",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9043472",
            "state": "WA"
        }
    ],
    "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 Jun 25, 2008; 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.