Renton Vision Center Inc PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

1004TX Issued in WA

Legal business name

RENTON VISION CENTER INC PS

Practice address

13909 Meridian E
A3
Puyallup, WA 98373-9180

Phone

(253) 841-1575

Fax

(253) 840-5543

NPI assigned

Oct 14, 2006

Last updated

Aug 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Raymond Jones, O.D.NPI 1467446211

Title

President

Phone

(253) 841-1575

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Jerry Raymond Jones, O.D.

  • Corneal and Contact Management Optometrist
  • Puyallup, WA
  • NPI 1467446211
  Authorized official Same address or phone

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1871683144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23896",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980930896",
            "telephone_number": "253-735-6163",
            "fax_number": "253-840-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 MERIDIAN E",
            "address_2": "A3",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983739180",
            "telephone_number": "253-841-1575",
            "fax_number": "253-840-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENTON VISION CENTER INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-841-1575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1004TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007664",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renew Aesthetics and Regenerative Medicine
• Rashaun A Renggli
• Shannon Renich
• Renn Chiropractic PS
• Timothy G Renn, D.C.
• Cassandra Mae Repasky
• Robyn Rae Repass, COTA
• Amee Elizabeth Respicio, LICSW, CMHS
• Restore Physical Therapy PS
• Dawn Michelle Resvick, LICSW

• Optometrist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.