Vision Plus of Mount Lake Terrace PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION PLUS OF MOUNT LAKE TERRACE PLLC

Practice address

23009 56TH Ave W Ste a
Mountlake Terrace, WA 98043-4713

Phone

(360) 778-0113

Fax

(425) 778-8833

NPI assigned

Sep 24, 2021

Last updated

Nov 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Aginsky, OD

Title

Owner

Phone

(360) 393-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshpal Singh Gill, OD

  • Optometrist
  • Ferndale, WA
  • NPI 1962026419
  Medicare reassignment NPD

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1801567292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23009 56TH AVE W STE A",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434713",
            "telephone_number": "360-778-0133",
            "fax_number": "425-778-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23009 56TH AVE W STE A",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434713",
            "telephone_number": "360-778-0113",
            "fax_number": "425-778-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PLUS OF MOUNT LAKE TERRACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "AGINSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-393-4000",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wienel Y Vanbrook, LSW
• Evan Vandarwarka
• Michelle Marie Vaneyck
• Laura J Vaughan, LICSW
• Teresa GS Vazquez, LMSW
• Visiting Nurse Services of the Northwest
• Celia Elizabeth Viveros, LICSW
• Kristina Yvonne Vrooman, CB61025277
• Darlene Grace Wagler, LMHCA
• Alexis Michael Walker

• Optometrist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.