South Hill Vision Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOUTH HILL VISION CLINIC

Practice address

12511 E Meridian
Suite 101
Puyallup, WA 98375

Phone

(253) 848-8988

Fax

(253) 841-2374

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Ione Farrington

Title

Office Manager

Phone

(253) 848-8988

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689702557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 E MERIDIAN",
            "address_2": "SUITE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 E MERIDIAN",
            "address_2": "SUITE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98375",
            "telephone_number": "253-848-8988",
            "fax_number": "253-841-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILL VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARRINGTON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "IONE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-848-8988"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2903904",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Hill Family Medicine PC (Sound Family Medicine)
• South Hill General Medical Clinic
• South Hill Operations, LLC (Life Care Center of South Hill)
• South Hill Vision Clinic
• South Hill Vision Clinic
• South Sound Musculoskeletal Institute PLLC
• South Sound Neurosurgery PLLC
• South Sound Neurosurgery PLLC (Precision Imaging)
• South Sound Neurosurgery PLLC
• Southsound Treatment Massage

• Optometrist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.