Organization Active NPI

Yakima Eye Spcialists

  • Ophthalmology Physician
  • Yakima, WA
National Provider Identifier
1790349249
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
YAKIMA EYE SPCIALISTS
Practice address
1410 Lakeside CT Ste 103
Yakima, WA 98902-7305
Phone
(509) 453-2010
Fax
(509) 225-6421
NPI assigned
Apr 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Tanya Michel
Title
Office Manager
Phone
(509) 453-2010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1410 Lakeside CT Ste 103
Yakima, WA 98902-7305

Mailing address

1410 Lakeside CT Ste 103
Yakima, WA 98902-7305
Phone (509) 453-2010

Other names 1

  • Figgs Eye Clinic, PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191105002066 WA Part B Supplier - Clinic/Group Practice 5092047399 Receives reassigned benefits from 4 practitioners
Practice locations: Yakima, WA

National Provider Directory

National Provider Directory

Locations

3403 Powerhouse Rd
Yakima, WA 98902
Phone (509) 966-2253

Practitioners & affiliated clinicians

Practitioners 4

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": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1790349249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 LAKESIDE CT STE 103",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027305",
            "telephone_number": "509-453-2010",
            "fax_number": "509-225-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 LAKESIDE CT STE 103",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027305",
            "telephone_number": "509-453-2010",
            "fax_number": "509-225-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA EYE SPCIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-453-2010"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Figgs Eye Clinic, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Figgs Eye Clinic, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.