Organization Active NPI

Developmental Vision Associates, PLLC

  • Vision Therapy Optometrist
  • Tacoma, WA
National Provider Identifier
1821272360
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
2057 Issued in WA
Legal business name
DEVELOPMENTAL VISION ASSOCIATES, PLLC
Practice address
3315 S 23Rd St Ste 215
Tacoma, WA 98405-1616
Phone
(253) 274-1698
NPI assigned
Dec 19, 2007
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Alan Pearson, O.D., PH.D
Title
Owner
Phone
(253) 274-1698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 2057 WA Primary

Addresses

Primary practice location

3315 S 23Rd St Ste 215
Tacoma, WA 98405-1616

Mailing address

3315 S 23Rd St Ste 215
Tacoma, WA 98405-1616
Phone (253) 274-1698

Other names 1

  • Hope Clinic Vision Therapy Other name

National Provider Directory

National Provider Directory

Locations

3315 S 23rd St
Ste 215
Tacoma, WA 98405
Phone (253) 274-1698

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1821272360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 S 23RD ST STE 215",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051616",
            "telephone_number": "253-274-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 S 23RD ST STE 215",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051616",
            "telephone_number": "253-274-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL VISION ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-274-1698",
        "authorized_official_credential": "O.D., PH.D"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "WA",
            "license": "2057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Clinic Vision Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.