Active NPI
Bellingham Vision Clinic Inc
- Optometrist
- Bellingham, WA
National Provider Identifier
1801082391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- BELLINGHAM VISION CLINIC INC
- Practice address
- 707 E Holly St
Bellingham, WA 98225-4712 - Phone
- (360) 752-2020
- Fax
- (360) 738-9741
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Steven Hovander, O.D.
- Title
- Owner
- Phone
- (360) 752-2020
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
707 E Holly St
Bellingham, WA 98225-4712
Mailing address
707 E Holly St
Bellingham, WA 98225-4712
Phone (360) 752-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014892 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
707 E Holly St
Bellingham, WA 98225
Phone (360) 752-2020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Ferndale, WA
- NPI 1548353303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1801082391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 E HOLLY ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254712",
"telephone_number": "360-752-2020",
"fax_number": "360-738-9741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 E HOLLY ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254712",
"telephone_number": "360-752-2020",
"fax_number": "360-738-9741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLINGHAM VISION CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "HOVANDER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-752-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2014892",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.