Organization Active NPI

Patrick Squires OD and Associates, Inc.

Doing business as Eye Associates

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1760607071
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PATRICK SQUIRES OD AND ASSOCIATES, INC.
Doing business as
Eye Associates
Practice address
1303 Cornwall Ave
Bellingham, WA 98225-4716
Phone
(360) 647-0421
Fax
(360) 733-5585
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. Patrick Squires, O.D.NPI 1114096146
Title
President
Phone
(360) 734-6464

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

1303 Cornwall Ave
Bellingham, WA 98225-4716

Mailing address

PO Box 29317
Bellingham, WA 98228-1317

Other identifiers 2

IdentifierTypeStateIssuer
GAB16225OtherWAMEDICARE GROUP #
2015972MedicaidWA

Other names 1

  • Eye Associates Doing business as

National Provider Directory

National Provider Directory

Locations

405 32nd St
Ste 103
Bellingham, WA 98225
Phone (360) 734-6464

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1760607071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29317",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982281317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254716",
            "telephone_number": "360-647-0421",
            "fax_number": "360-733-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK SQUIRES OD AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-734-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "GAB16225",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015972",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.