Active NPI
Ashbaker Vision Clinic Inc
- Optometrist
- Vancouver, WA
National Provider Identifier
1700927480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD3779
- Legal business name
- ASHBAKER VISION CLINIC INC
- Practice address
- 8217 E Mill Plain Blvd
Vancouver, WA 98664-2004 - Phone
- (360) 695-3829
- Fax
- (360) 695-7718
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan Charles Ashbaker, O.D.
- Title
- President
- Phone
- (360) 695-3829
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD3779 | WA | Primary |
Addresses
Primary practice location
8217 E Mill Plain Blvd
Vancouver, WA 98664-2004
Mailing address
8217 E Mill Plain Blvd
Vancouver, WA 98664-2004
Phone (360) 695-3829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8217 E Mill Plain Blvd
Vancouver, WA 98664
Phone (360) 695-3829
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Vancouver, WA
- NPI 1639152580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282694400000",
"number": "1700927480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8217 E MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986642004",
"telephone_number": "360-695-3829",
"fax_number": "360-695-7718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8217 E MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986642004",
"telephone_number": "360-695-3829",
"fax_number": "360-695-7718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHBAKER VISION CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2010-08-25",
"status": "A",
"authorized_official_last_name": "ASHBAKER",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-695-3829",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "OD3779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.