Eyecare Northwest Inc PS

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECARE NORTHWEST INC PS

Practice address

1203 E Division St
Mount Vernon, WA 98274-4101

Phone

(360) 336-5734

Fax

(360) 336-2825

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Joseph Murphy, OD

Title

President Ceo

Phone

(360) 336-5734

Specialties & licenses 1

Addresses

Other names 1

• Valley Vision Doing business as

Locations

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1891713541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 E DIVISION ST",
            "address_2": "PO BOX 486",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744101",
            "telephone_number": "360-336-5734",
            "fax_number": "360-336-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744101",
            "telephone_number": "360-336-5734",
            "fax_number": "360-336-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE NORTHWEST INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT  CEO",
        "authorized_official_telephone_number": "360-336-5734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Mount Vernon, WA
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.