Organization Active NPI

Juanita Vision Works, LLC

  • Point of Service
  • Kirkland, WA
National Provider Identifier
1841446267
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
1995TX Issued in WA
Legal business name
JUANITA VISION WORKS, LLC
Practice address
9726 NE 119TH Way
Kirkland, WA 98034-8955
Phone
(425) 638-0700
Fax
(425) 638-0800
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mary E Baker, OD
Title
Owner
Phone
(425) 638-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 1995TX WA Primary

Addresses

Primary practice location

9726 NE 119TH Way
Kirkland, WA 98034-8955

Mailing address

9726 NE 119TH Way
Kirkland, WA 98034-8955
Phone (425) 638-0700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1841446267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9726 NE 119TH WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980348955",
            "telephone_number": "425-638-0700",
            "fax_number": "425-638-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9726 NE 119TH WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980348955",
            "telephone_number": "425-638-0700",
            "fax_number": "425-638-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANITA VISION WORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-638-0700",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WA",
            "license": "1995TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.