Organization Active NPI

Bayview Vision Clinic

  • Optometrist
  • Langley, WA
National Provider Identifier
1699414102
Registry record updated Feb 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BAYVIEW VISION CLINIC
Practice address
15821 Sr 525
Langley, WA 98260-9780
Phone
(360) 321-4779
Fax
(360) 321-4782
NPI assigned
Jun 2, 2022
Last updated
Feb 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2023

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

Authorized official

Name
Flynt Davies, ODNPI 1447875661
Title
Owner
Phone
(360) 321-4779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

15821 Sr 525
Langley, WA 98260-9780

Mailing address

15821 Sr 525
Langley, WA 98260-9780
Phone (360) 321-4779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230405002195 WA Part B Supplier - Clinic/Group Practice 0446625495 Receives reassigned benefits from 1 practitioner
Practice locations: Langley, WA

National Provider Directory

National Provider Directory

Locations

805 US Highway 41 S
Baraga, MI 49908
Phone (906) 353-8100

805 US Highway 41 S
#A
Baraga, MI 49908
Phone (906) 353-8100

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675468800000",
    "number": "1699414102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 SR 525",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609780",
            "telephone_number": "360-321-4779",
            "fax_number": "360-321-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15821 SR 525",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982609780",
            "telephone_number": "360-321-4779",
            "fax_number": "360-321-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-02-04",
        "certification_date": "2023-02-04",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "FLYNT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-321-4779",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.