Jeffrey B. Worrell/ Esp Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

DO00000609 Issued in WA

Legal business name

JEFFREY B. WORRELL/ ESP OPTICAL

Practice address

1611 E Division St
Mount Vernon, WA 98274-4503

Phone

(360) 336-9559

Fax

(360) 336-9559

NPI assigned

Jan 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey B. WorrellNPI 1043376171

Title

Owner

Phone

(360) 336-9559

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jeffrey B. Worrell, OPTICIAN

  • Optician
  • Mount Vernon, WA
  • NPI 1043376171
  NPD (past) Authorized official

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1760533251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744503",
            "telephone_number": "360-336-9559",
            "fax_number": "360-336-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744503",
            "telephone_number": "360-336-9559",
            "fax_number": "360-336-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY B. WORRELL/ ESP OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "WORRELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-336-9559",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "DO00000609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021368",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James a Wells Inc PS
• Jamie L Southard DC PC
• Janette Carroll DDS PLLC
• Janette Carroll, DDS, PLLC
• John Jarolimek Jr., D.C.
• Debby Jo Jemeyson, CPD, BSW
• Jasmine Jenkins
• Jenna Lisenby, DPT, LLC
• Sharlet Lee Jensen, MS CCC SLP
• Christina Marie Jepperson, ARNP

• Eyewear Supplier in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.