Organization Active NPI

Dr Maureen Fahey and Associates

  • Optometrist
  • Kennewick, WA
National Provider Identifier
1679675276
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003148 Issued in WA
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

Updated by the provider on Sep 24, 2009

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2032142MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.