Sequim Vision Clinic PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

601357086 Issued in WA

Legal business name

SEQUIM VISION CLINIC PS

Practice address

541 North 5TH Avenue
Sequim, WA 98382

Phone

(360) 683-3389

Fax

(360) 683-7069

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Dee Young

Title

Billing Manager

Phone

(360) 683-3389

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine A Halgrimson, OD

  • Optometrist
  • Sequim, WA
  • NPI 1700193067
  Medicare reassignment Care Compare group NPD
• Diana Kim Thompson Young, OD

  • Optometrist
  • Sequim, WA
  • NPI 1114005592
  Medicare reassignment Care Compare group NPD
• Cynthia Bidegary Tok, OD

  • Optometrist
  • Sequim, WA
  • NPI 1679572812
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1700070158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983820549",
            "telephone_number": "360-683-3389",
            "fax_number": "360-683-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 NORTH 5TH AVENUE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "98382",
            "telephone_number": "360-683-3389",
            "fax_number": "360-683-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUIM VISION CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "360-683-3389"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "601357086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP ID#",
            "identifier": "CS1723",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sequim Physician Clinic
• Sequim Rehabilitation LLC (Avamere Olympic Rehabilitation of Sequim)
• Sequim Same Day Surgery Inc
• Sequim School District
• Sequim School District
• Binay Kumar Shah, MD
• Sheeler Denture Clinic
• Sindie Lou Sheeler, DN60313524
• Sherwood Medical Center
• Andy Andreyevich Shimchuk

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.