Pacific Northwest Optometry PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PACIFIC NORTHWEST OPTOMETRY PLLC

Practice address

301 5TH St
Clarkston, WA 99403-1860

Phone

(509) 758-0205

Fax

(509) 751-4086

NPI assigned

Jun 25, 2026

Organization subpart

No

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

Authorized official

Name

Sandy Wong-Tran, O.D.

Title

Member

Phone

(425) 738-7870

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1861318669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 SE 36TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061553",
            "telephone_number": "425-738-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 5TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994031860",
            "telephone_number": "509-758-0205",
            "fax_number": "509-751-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "WONG-TRAN",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-738-7870",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.