Organization Active NPI

Twin Harbors Eye Center PS

  • Eyewear Supplier
  • Aberdeen, WA
National Provider Identifier
1760664841
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
TWIN HARBORS EYE CENTER PS
Doing business as
TWIN HARBORS OPTICAL
Practice address
207 S Chehalis St
Aberdeen, WA 98520-2945
Phone
(360) 533-2020
Fax
(360) 533-1978
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Susan Ruyle, M.D.
Title
Owner
Phone
(360) 533-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

207 S Chehalis St
Aberdeen, WA 98520-2945

Mailing address

207 S Chehalis St
Aberdeen, WA 98520-2945
Phone (360) 533-2020

Other identifiers 1

IdentifierTypeStateIssuer
1246640001OtherWAPROVIDER/CLINIC#

Other names 1

  • TWIN HARBORS OPTICAL Doing business as

National Provider Directory

National Provider Directory

Locations

207 S Chehalis St
Aberdeen, WA 98520
Phone (360) 533-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1760664841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S CHEHALIS ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202945",
            "telephone_number": "360-533-2020",
            "fax_number": "360-533-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S CHEHALIS ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202945",
            "telephone_number": "360-533-2020",
            "fax_number": "360-533-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN HARBORS EYE CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "RUYLE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-533-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER/CLINIC#",
            "identifier": "1246640001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TWIN HARBORS OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.