Organization Active NPI

Olympia Eye Clinic PLLC

  • Ambulatory Surgical Clinic/Center
  • Olympia, WA
National Provider Identifier
1780845826
Registry record updated Feb 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OLYMPIA EYE CLINIC PLLC
Practice address
724 Columbia St NW
Olympia, WA 98501-1291
Phone
(360) 456-4800
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2020

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

Authorized official

Name
Rodger D Bodoia, MD
Title
President
Phone
(360) 456-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

724 Columbia St NW
Olympia, WA 98501-1291

Mailing address

215 Lilly Rd NE
Olympia, WA 98506-5030
Phone (360) 456-4800

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

724 Columbia St NW
Olympia, WA 98501
Phone (360) 456-3200

724 Columbia St NW
Ste 100
Olympia, WA 98501
Phone (360) 357-4848

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581120000000",
    "number": "1780845826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065030",
            "telephone_number": "360-456-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 COLUMBIA ST NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011291",
            "telephone_number": "360-456-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA EYE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A",
        "authorized_official_last_name": "BODOIA",
        "authorized_official_first_name": "RODGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-456-4800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; 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.