Organization Active NPI

Traci Anderson O.D., P.S

  • Optometrist
  • Spokane, WA
National Provider Identifier
1861654436
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3653 Issued in WA
Legal business name
TRACI ANDERSON O.D., P.S
Practice address
2301 W Wellesley Ave
Spokane, WA 99205-5004
Phone
(509) 327-0444
Fax
(509) 327-0494
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Traci Anderson, O.D.
Title
Optometrist
Phone
(509) 327-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3653 WA Primary

Addresses

Primary practice location

2301 W Wellesley Ave
Spokane, WA 99205-5004

Mailing address

2116 S Katy CT
Spokane, WA 99224-4752
Phone (509) 327-0444

National Provider Directory

National Provider Directory

Locations

1221 S Hayford Rd
Spokane, WA 99224
Phone (509) 459-0614

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1861654436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 S KATY CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992244752",
            "telephone_number": "509-327-0444",
            "fax_number": "509-327-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W WELLESLEY AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992055004",
            "telephone_number": "509-327-0444",
            "fax_number": "509-327-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACI ANDERSON O.D., P.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "509-327-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

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