NPIMap

Organization Active NPI

Eye 2 Eye Care PS

  • Clinic/Center
  • Bonney Lake, WA
National Provider Identifier
1891309928
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EYE 2 EYE CARE PS
Practice address
19205 State Route 410 E
Bonney Lake, WA 98391-6305
Phone
(253) 826-9156
Fax
(253) 826-9158
NPI assigned
Sep 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

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

Authorized official

Name
Saphol Ros, OD
Title
President
Phone
(206) 227-2750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

19205 State Route 410 E
Bonney Lake, WA 98391-6305

Mailing address

19205 State Route 410 E
Bonney Lake, WA 98391-6305
Phone (253) 826-9156

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599264000000",
    "number": "1891309928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19205 STATE ROUTE 410 E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916305",
            "telephone_number": "253-826-9156",
            "fax_number": "253-826-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19205 STATE ROUTE 410 E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916305",
            "telephone_number": "253-826-9156",
            "fax_number": "253-826-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE 2 EYE CARE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-05",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A",
        "authorized_official_last_name": "ROS",
        "authorized_official_first_name": "SAPHOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-227-2750",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; 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.