Organization Active NPI

Vision Plus in Marysville, PS

  • Optometrist
  • Marysville, WA
National Provider Identifier
1851835896
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003639 Issued in WA
Legal business name
VISION PLUS IN MARYSVILLE, PS
Practice address
9516 State Ave Ste a
Marysville, WA 98270-2277
Phone
(360) 658-5071
NPI assigned
Dec 9, 2016
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Dr. Mark Aginsky, ODNPI 1730169285
Title
President
Phone
(360) 393-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD00003639 WA Primary

Addresses

Primary practice location

9516 State Ave Ste a
Marysville, WA 98270-2277

Mailing address

2520 James St
Bellingham, WA 98225-3545
Phone (360) 393-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170203001535 WA Part B Supplier - Clinic/Group Practice 5395028047 Receives reassigned benefits from 2 practitioners
Practice locations: Marysville, WA

National Provider Directory

National Provider Directory

Locations

9516 State Ave
Ste A
Marysville, WA 98270
Phone (360) 658-5071

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1851835896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 JAMES ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253545",
            "telephone_number": "360-393-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9516 STATE AVE STE A",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982702277",
            "telephone_number": "360-658-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION PLUS IN MARYSVILLE, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "AGINSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-393-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.