Columbia Crest Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001355 Issued in WA

Legal business name

COLUMBIA CREST EYE CARE

Practice address

7301 W Deschutes Ave Ste B
Kennewick, WA 99336-7799

Phone

(509) 735-2020

Fax

(509) 783-2135

NPI assigned

Jul 1, 2015

Organization subpart

Yes

Parent organization

COLUMBIA CREST EYE CARE INC PSAs reported in NPPES

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

Authorized official

Name

Ssally Murphy, OFFICE MANAGER

Title

Office Manager

Phone

(509) 735-2020

Specialties & licenses 3

Addresses

Part of

Columbia Crest Eye Care Inc

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1699158261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 W DESCHUTES AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367799",
            "telephone_number": "509-735-2020",
            "fax_number": "509-783-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W DESCHUTES AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367799",
            "telephone_number": "509-735-2020",
            "fax_number": "509-783-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CREST EYE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA CREST EYE CARE INC PS",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "SSALLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-735-2020",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001355",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60483368",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Basin Pedicatric Dentistry
• Columbia Basin Prosthetics & Orthotics, Inc.
• Columbia Basin Psychiatric Solutions PLLC
• Columbia Birth Center
• Columbia Chiropractic LLC
• Columbia Crest Eye Care Inc PS
• Columbia Industries
• Columbia Physical Therapy Inc PS
• Columbia Rehab and Pain Inc
• Columbia Rheumatology

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.