Michael Sirott, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

152W00000X

Legal business name

MICHAEL SIROTT, OD, PLLC

Practice address

902 Engh Rd
Omak, WA 98841-9473

Phone

(509) 868-8604

Fax

(509) 826-2556

NPI assigned

Jan 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Michael Sirott, O.D.

Title

Doctor/Owner

Phone

(509) 868-8604

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1659618684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10772",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992090772",
            "telephone_number": "509-868-8604",
            "fax_number": "509-826-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 ENGH RD",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419473",
            "telephone_number": "509-868-8604",
            "fax_number": "509-826-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SIROTT, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "SIROTT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "509-868-8604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": "152W00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508979493",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Omak, WA
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.