D. Todd Wylie, O.D., Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1528TX Issued in WA

Legal business name

D. TODD WYLIE, O.D., INC.

Doing business as

Advanced Eyecare Center

Practice address

104 S Freya Street
Suite 220, White Flag BLDG
Spokane, WA 99202-4867

Phone

(509) 535-5855

Fax

(509) 535-3916

NPI assigned

Oct 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald Todd Wylie, ODNPI 1750308243

Title

Owner

Phone

(509) 535-5855

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Eyecare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Donald Todd Wylie, O.D.

  • Vision Therapy Optometrist
  • Spokane, WA
  • NPI 1750308243
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1730378308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FREYA STREET",
            "address_2": "SUITE 220, WHITE FLAG BLDG",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024867",
            "telephone_number": "509-535-5855",
            "fax_number": "509-535-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FREYA STREET",
            "address_2": "SUITE 220, WHITE FLAG BLDG",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024867",
            "telephone_number": "509-535-5855",
            "fax_number": "509-535-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. TODD WYLIE, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-535-5855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "1528TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GAB20237",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024842",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Peter Czifro, AA
• Emily Cziglenyi
• Heidi Ann Czirr, MOTR/L
• Joelle Marie Czirr
• D & M Holdings LLC (Franklin Park Urgent Care Center)
• Johnathan Daniel D'Auteuil, CO60841282
• Michael Sean D'Esterre, LICSW
• Sarah E D'Hulst, MD
• Chantalle Sarah D'Spain, LMP
• Matthew Dale Dach, MSW

• Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.