NPIMap

Organization Active NPI

Vision Plus Inside Snohomish Top Foods PS

  • Optometrist
  • Snohomish, WA
National Provider Identifier
1780917872
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
602946857 Issued in WA
Legal business name
VISION PLUS INSIDE SNOHOMISH TOP FOODS PS
Practice address
1301 Avenue D
Snohomish, WA 98290-1711
Phone
(360) 568-6868
Fax
(360) 568-6881
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Dr. Michael Jesse Saul, O.DNPI 1922182104
Title
Owner
Phone
(360) 568-6868

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 602946857 WA Primary

Addresses

Primary practice location

1301 Avenue D
Snohomish, WA 98290-1711

Mailing address

1225 E Sunset Dr
Suite 125
Bellingham, WA 98226-3597
Phone (360) 733-7393

Other identifiers 1

IdentifierTypeStateIssuer
2006242MedicaidWA

Other names 1

  • Vision Plus Snohomish Doing business as

National Provider Directory

National Provider Directory

Locations

1301 Avenue D
Snohomish, WA 98290
Phone (360) 568-5154

Practitioners & affiliated clinicians

Practitioners 7

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": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1780917872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E SUNSET DR",
            "address_2": "SUITE 125",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263597",
            "telephone_number": "360-733-7393",
            "fax_number": "360-733-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 AVENUE D",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901711",
            "telephone_number": "360-568-6868",
            "fax_number": "360-568-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PLUS INSIDE SNOHOMISH TOP FOODS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "SAUL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-568-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "602946857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006242",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Plus Snohomish",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.