Organization Active NPI

Everett Vision Therapy

  • Vision Therapy Optometrist
  • Everett, WA
National Provider Identifier
1821529470
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OD60351117 Issued in WA
Legal business name
EVERETT VISION THERAPY
Practice address
6320 Evergreen Way
Suite 206a
Everett, WA 98203-4500
Phone
(252) 632-0349
NPI assigned
Mar 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Dr. Arash Eslami, OD
Title
Optometrist/Co-Owner
Phone
(252) 632-0349

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OD60351117 WA
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X OD60351117 WA
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X OD60351117 WA
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X OD60351117 WA
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X OD60351117 WA
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X OD60351117 WA Primary
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WX0102X OD60351117 WA
OrthoptistGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1900X OD60351117 WA

Addresses

Primary practice location

6320 Evergreen Way
Suite 206a
Everett, WA 98203-4500

Mailing address

6320 Evergreen Way
Suite 206a
Everett, WA 98203-4500
Phone (252) 632-0349

National Provider Directory

National Provider Directory

Locations

6320 Evergreen Way
Ste 206A
Everett, WA 98203
Phone (425) 309-7084

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1821529470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 EVERGREEN WAY",
            "address_2": "SUITE 206A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982034500",
            "telephone_number": "252-632-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 EVERGREEN WAY",
            "address_2": "SUITE 206A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982034500",
            "telephone_number": "252-632-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT VISION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "ESLAMI",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "OPTOMETRIST/CO-OWNER",
        "authorized_official_telephone_number": "252-632-0349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60351117",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "OD60351117",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "WA",
            "license": "OD60351117",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "WA",
            "license": "OD60351117",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "WA",
            "license": "OD60351117",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "WA",
            "license": "OD60351117",
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "WA",
            "license": "OD60351117",
            "primary": false
        },
        {
            "code": "156FX1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Orthoptist",
            "state": "WA",
            "license": "OD60351117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.