Organization Active NPI

Precision Family Vision, PLLC

Doing business as Eyecon Optometry

  • Optometrist
  • Lynnwood, WA
National Provider Identifier
1871839084
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60046729 Issued in WA
Legal business name
PRECISION FAMILY VISION, PLLC
Doing business as
Eyecon Optometry
Practice address
2902 164TH St SW
Suite G-2
Lynnwood, WA 98087-3201
Phone
(425) 678-0300
Fax
(425) 678-0209
NPI assigned
Dec 14, 2012
Last updated
Oct 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Brian Godines, O.D.
Title
Owner
Phone
(619) 823-4798

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 60046729 WA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 00004043 WA

Addresses

Primary practice location

2902 164TH St SW
Suite G-2
Lynnwood, WA 98087-3201

Mailing address

2902 164TH St SW
Suite G-2
Lynnwood, WA 98087-3201
Phone (425) 678-0300

Other names 1

  • Eyecon Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

2902 164th St SW
Ste G2
Lynnwood, WA 98087
Phone (425) 678-0300

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1871839084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 164TH ST SW",
            "address_2": "SUITE G-2",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873201",
            "telephone_number": "425-678-0300",
            "fax_number": "425-678-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 164TH ST SW",
            "address_2": "SUITE G-2",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873201",
            "telephone_number": "425-678-0300",
            "fax_number": "425-678-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION FAMILY VISION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "GODINES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-823-4798",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60046729",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "00004043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecon Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.