Sedro Woolley Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00000994 Issued in WA

Legal business name

SEDRO WOOLLEY VISION CENTER INC

Practice address

823 Murdock St
Sedro Woolley, WA 98284-1451

Phone

(360) 855-1251

Fax

(360) 855-2843

NPI assigned

Feb 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Richard Bee, O.D.NPI 1821138496

Title

Corporate President

Phone

(360) 855-1251

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Richard Bee, O.D.

  • Optometrist
  • Sedro Woolley, WA
  • NPI 1821138496
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1790750313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 348",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982840348",
            "telephone_number": "360-855-1251",
            "fax_number": "360-855-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 MURDOCK ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841451",
            "telephone_number": "360-855-1251",
            "fax_number": "360-855-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDRO WOOLLEY VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "BEE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "360-855-1251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00000994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "057746001",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005353",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sedro Woolley Emergency Physicians
• Sedro Woolley Family Dental Center, P.S.
• Sedro Woolley Family Medicine PLLC
• Sedro Woolley Physical Therapy, Inc., PS
• Sedro Woolley School District
• Sedro-Woolley Family Dental Center
• Lauren Margaret Serl-Andrade
• Gigi Servis, PHD, LMHC, SUDP, MAC
• Matthew Shadwick
• Lesa Sheahan

• Optometrist in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.