Active NPI
Dr Maureen Fahey and Associates
- Optometrist
- Kennewick, WA
National Provider Identifier
1679675276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00003148
- Legal business name
- DR MAUREEN FAHEY AND ASSOCIATES
- Practice address
- 117 N Ely St
Kennewick, WA 99336-2941 - Phone
- (509) 735-2050
- Fax
- (509) 735-2288
- NPI assigned
- Sep 2, 2006
- 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
- Dr. Maureen Susan Fahey, O.D.
- Title
- President
- Phone
- (509) 735-2050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00003148 | WA | Primary |
Addresses
Primary practice location
117 N Ely St
Kennewick, WA 99336-2941
Mailing address
117 N Ely St
Kennewick, WA 99336-2941
Phone (509) 735-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2032142 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
8503 W Clearwater Ave
Kennewick, WA 99336
Phone (509) 374-4719
8503 W Clearwater Ave
Ste A
Kennewick, WA 99336
Phone (509) 735-2050
117 N Ely St
Kennewick, WA 99336
Phone (509) 735-2050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Vancouver, WA
- NPI 1477560993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253750400000",
"number": "1679675276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 N ELY ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362941",
"telephone_number": "509-735-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N ELY ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362941",
"telephone_number": "509-735-2050",
"fax_number": "509-735-2288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR MAUREEN FAHEY AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-02",
"last_updated": "2009-09-24",
"status": "A",
"authorized_official_last_name": "FAHEY",
"authorized_official_first_name": "MAUREEN",
"authorized_official_middle_name": "SUSAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "509-735-2050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2032142",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.