Organization Active NPI

Community Eyecare Center LLC

Doing business as Eyewear Gallery

  • Clinic/Center
  • Federal Way, WA
National Provider Identifier
1841558848
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OD 00004137 Issued in WA
Legal business name
COMMUNITY EYECARE CENTER LLC
Doing business as
Eyewear Gallery
Practice address
728 S 320TH St Ste F
Federal Way, WA 98003-5255
Phone
(253) 941-3937
Fax
(253) 941-3935
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Anthony W Homan, O.D.
Title
President
Phone
(253) 941-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OD 00004137 WA Primary

Addresses

Primary practice location

728 S 320TH St Ste F
Federal Way, WA 98003-5255

Mailing address

728 S 320TH St Ste F
Federal Way, WA 98003-5255
Phone (253) 941-3937

Other names 1

  • Eyewear Gallery Doing business as

National Provider Directory

National Provider Directory

Locations

728 S 320th St
Ste F
Federal Way, WA 98003
Phone (253) 941-3937

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1841558848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 S 320TH ST STE F",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035255",
            "telephone_number": "253-941-3937",
            "fax_number": "253-941-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 S 320TH ST STE F",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035255",
            "telephone_number": "253-941-3937",
            "fax_number": "253-941-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY EYECARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "HOMAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-941-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "OD 00004137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyewear Gallery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.