Organization Active NPI

Washington Eye Care Center PC

  • Optometrist
  • Chewelah, WA
National Provider Identifier
1750858577
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WASHINGTON EYE CARE CENTER PC
Practice address
306 N Park St
Chewelah, WA 99109-8971
Phone
(509) 935-2020
Fax
(509) 935-6795
NPI assigned
Oct 30, 2018
Organization subpart
Yes
Parent organization
WASHINGTON EYE CARE CENTER PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Authorized official

Name
Daniel Nile Evans, ODNPI 1134151293
Title
President
Phone
(509) 747-6581

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

306 N Park St
Chewelah, WA 99109-8971

Mailing address

PO Box 836
Chewelah, WA 99109-0836
Phone (509) 935-2020

Other names 1

  • The Eye Care Team- Chewelah Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Washington Eye Care Center PC2 organizations share this tax ID, including this one
Part of
Washington Eye Care Center PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1750858577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 836",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991090836",
            "telephone_number": "509-935-2020",
            "fax_number": "509-935-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N PARK ST",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098971",
            "telephone_number": "509-935-2020",
            "fax_number": "509-935-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON EYE CARE CENTER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASHINGTON EYE CARE CENTER PC",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "NILE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-747-6581",
        "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": [
        {
            "organization_name": "The Eye Care Team- Chewelah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chewelah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.