Twin City Vision PLLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

DO 00002099 Issued in WA

Legal business name

TWIN CITY VISION PLLC

Practice address

4503 Ocean Beach Hwy
Suite 103
Longview, WA 98632-5052

Phone

(360) 636-6111

Fax

(360) 636-4050

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Darrel Marshall, OPTICIAN

Title

Owner

Phone

(360) 636-6111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie R Sipe, OD

  • Optometrist
  • Longview, WA
  • NPI 1740225077
  NPD (past)

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1891961165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 OCEAN BEACH HWY",
            "address_2": "SUITE 103",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986325052",
            "telephone_number": "360-636-6111",
            "fax_number": "360-636-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 OCEAN BEACH HWY",
            "address_2": "SUITE 103",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986325052",
            "telephone_number": "360-636-6111",
            "fax_number": "360-636-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITY VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DARREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-636-6111",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WA",
            "license": "DO 00002099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Allen Tuckwin, LCSW
• Elizabeth Anne Tullis, MSW
• Colton Turner, BA, R-AAC
• Mandy Turner, NP
• William Taylor Turner, M.D.
• Unity Counseling Group, PLLC
• University Professional Services
• Akiho Uno, PHARMD
• Franklin Urion, DO
• Steven M Urman, M.D.

• Point of Service in Longview, WA
• Providers in Longview, WA by specialty
• Point of Service in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.