Pullman Vision Source

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PULLMAN VISION SOURCE

Practice address

238 E Main St
Pullman, WA 99163-2619

Phone

(509) 334-1131

Fax

(509) 332-4062

NPI assigned

Aug 30, 2018

Last updated

Aug 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James P Devleming, ODNPI 1265511802

Title

Owner/Optometrist

Phone

(509) 334-1131

Specialties & licenses 1

Addresses

Practitioners 1

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.

• James P Devleming, OD

  • Optometrist
  • Pullman, WA
  • NPI 1265511802
  NPD Authorized official

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1770065377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 E MAIN ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632619",
            "telephone_number": "509-334-1131",
            "fax_number": "509-332-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 E MAIN ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632619",
            "telephone_number": "509-334-1131",
            "fax_number": "509-332-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULLMAN VISION SOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "DEVLEMING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "509-334-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pullman Regional Hospital Clinic Network LLC (Palouse Pediatrics - Pullman)
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• Pullman School District No.267
• Pullman Sports Physical Therapy, Inc
• Pullman Urgent Care PLLC
• Rahul Purbey, M.B.B.S
• Khalid Qayoum, PHARMD
• Sophia Simone Raasch, RD
• Jeffrey Radakovich, MD
• Deborah Ann Ralston, M.S.

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

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