Des Moines Vision Center Inc PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001598 Issued in WA

Legal business name

DES MOINES VISION CENTER INC PS

Practice address

21634 Marine View Dr S
Des Moines, WA 98198-6154

Phone

(206) 878-4233

Fax

(206) 878-5818

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. W Richard Krattli, O.D.

Title

Optometrist

Phone

(206) 878-4233

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• W Richard Krattli, OD

  • Optometrist
  • Des Moines, WA
  • NPI 1326136987
  Medicare reassignment

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1801076989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21634 MARINE VIEW DR S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986154",
            "telephone_number": "206-878-4233",
            "fax_number": "206-878-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21634 MARINE VIEW DR S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986154",
            "telephone_number": "206-878-4233",
            "fax_number": "206-878-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES MOINES VISION CENTER INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "KRATTLI",
        "authorized_official_first_name": "W RICHARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "206-878-4233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irish Pediangco Dela Paz, PT
• Lois Marie Dennett, M.A.
• Kathrin Dentel, A.R.N.P
• Iolanda Deruiter, CDP
• Des Moines Drug Store Inc
• Ravi Paresh Desai
• Deborah L Devries, MA, LMHCA
• Milena Katarzyna Dickens
• Mumin Daud Dimbil, MD
• Allen Dodd, LMP

• Optometrist in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.