NPIMap

Organization Active NPI

American Healthy Vision Clinic

Doing business as Primary Eye Care

  • Optometrist
  • Auburn, WA
National Provider Identifier
1902330343
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60724663 Issued in WA
Legal business name
AMERICAN HEALTHY VISION CLINIC
Doing business as
Primary Eye Care
Practice address
762 Outlet Collection Dr SW
Auburn, WA 98001-6582
Phone
(206) 412-5830
Fax
(253) 804-1065
NPI assigned
Apr 12, 2017
Last updated
Feb 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Vinh Phuc Nguyen, OD60724663NPI 1427596352
Title
Optometrist
Phone
(206) 412-5830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60724663 WA Primary

Addresses

Primary practice location

762 Outlet Collection Dr SW
Auburn, WA 98001-6582

Mailing address

1019 Pierce CT NE
Renton, WA 98056-3536
Phone (206) 412-5830

Other practice location 1

1965 S Union Ave
Tacoma, WA 98405-1017
Phone (253) 414-9530

Other names 1

  • Primary Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

3500 S Meridian
Ste 900
South Hill, WA 98373
Phone (206) 412-5830

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": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1902330343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 PIERCE CT NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563536",
            "telephone_number": "206-412-5830",
            "fax_number": "253-804-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 OUTLET COLLECTION DR SW",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980016582",
            "telephone_number": "206-412-5830",
            "fax_number": "253-804-1065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1965 S Union Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051017",
            "country_code": "US",
            "telephone_number": "253-414-9530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN HEALTHY VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VINH",
        "authorized_official_middle_name": "PHUC",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "206-412-5830",
        "authorized_official_credential": "OD60724663"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60724663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2021; 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.