Eye Innovation Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3211 Issued in WA

Legal business name

EYE INNOVATION INC

Doing business as

Innovative Eyecare

Practice address

16870 Southcenter Pkwy
Tukwila, WA 98188-3309

Phone

(206) 508-4700

Fax

(206) 508-4712

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Jitodai, O.D.

Title

President

Phone

(206) 508-4700

Specialties & licenses 1

Addresses

Other names 1

• Innovative Eyecare Doing business as

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1730459439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16870 SOUTHCENTER PKWY",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883309",
            "telephone_number": "206-508-4700",
            "fax_number": "206-508-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16870 SOUTHCENTER PKWY",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883309",
            "telephone_number": "206-508-4700",
            "fax_number": "206-508-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE INNOVATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "JITODAI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-508-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.