Active NPI
Devi Carson Jorgenson, LDO
- Optician
- Auburn, WA
National Provider Identifier
1871951731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 401 1St NE
For Eyez & Style
Auburn, WA 98002-5042 - Phone
- (206) 930-2686
- NPI assigned
- Feb 8, 2016
- Last updated
- Feb 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | NU | Primary |
Addresses
Primary practice location
401 1St NE
For Eyez & Style
Auburn, WA 98002-5042
Mailing address
15705 SE 178TH PL
Renton, WA 98058
Phone (206) 930-2686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1871951731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15705 SE 178TH PL",
"city": "RENTON",
"state": "WA",
"postal_code": "98058",
"telephone_number": "206-930-2686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 1ST NE",
"address_2": "FOR EYEZ & STYLE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980025042",
"telephone_number": "206-930-2686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSON",
"first_name": "DEVI",
"middle_name": "CARSON",
"name_prefix": "Mrs.",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.