Organization Active NPI

Cozza Optical Inc

  • Optician
  • Spokane, WA
National Provider Identifier
1881785467
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1954 Issued in WA
Legal business name
COZZA OPTICAL INC
Practice address
5503 N Wall St
Suite 1
Spokane, WA 99205-6402
Phone
(509) 489-2020
Fax
(509) 489-3387
NPI assigned
Sep 27, 2006
Last updated
Jun 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Barbara I Cozza, LDO
Title
VP/Co-Owner
Phone
(509) 489-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 548 WA
Optician 156FX1800X 1954 WA Primary

Addresses

Primary practice location

5503 N Wall St
Suite 1
Spokane, WA 99205-6402

Mailing address

5503 N Wall St
Suite 1
Spokane, WA 99205-6402
Phone (509) 489-2020

Other identifiers 1

IdentifierTypeStateIssuer
2022986MedicaidWA

National Provider Directory

National Provider Directory

Locations

421 W Riverside Ave
Ste 102
Spokane, WA 99201
Phone (509) 624-9209

5503 N Wall St
Ste 1
Spokane, WA 99205
Phone (509) 489-2020

5522 N Wall St
Spokane, WA 99205
Phone (509) 489-2020

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1881785467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 N WALL ST",
            "address_2": "SUITE 1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056402",
            "telephone_number": "509-489-2020",
            "fax_number": "509-489-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 N WALL ST",
            "address_2": "SUITE 1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056402",
            "telephone_number": "509-489-2020",
            "fax_number": "509-489-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COZZA OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "COZZA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "VP/CO-OWNER",
        "authorized_official_telephone_number": "509-489-2020",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "548",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "1954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022986",
            "state": "WA"
        }
    ],
    "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 17, 2013; 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.