Active NPI
Central Washington Optical, LLC
- Eyewear Supplier
- Sunnyside, WA
National Provider Identifier
1649654633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 602255023
- Legal business name
- CENTRAL WASHINGTON OPTICAL, LLC
- Practice address
- 301 N 1St St
Sunnyside, WA 98944-1465 - Phone
- (509) 837-3845
- NPI assigned
- Jul 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abel W Li, M.D.
- Title
- Member
- Phone
- (509) 452-6611
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 |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 602255023 | WA | Primary |
Addresses
Primary practice location
301 N 1St St
Sunnyside, WA 98944-1465
Mailing address
3902 Creekside Loop Ste 110
Yakima, WA 98902-4876
Phone (509) 248-5176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001118 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
301 N 1st St
Sunnyside, WA 98944
Phone (509) 837-3845
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.
-
- Ophthalmology Physician
- Yakima, WA
- NPI 1841239399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437350400000",
"number": "1649654633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 CREEKSIDE LOOP STE 110",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989024876",
"telephone_number": "509-248-5176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N 1ST ST",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989441465",
"telephone_number": "509-837-3845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL WASHINGTON OPTICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-20",
"last_updated": "2015-07-20",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "ABEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "509-452-6611",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "WA",
"license": "602255023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1001118",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyside, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.