NPIMap

Organization Active NPI

Pacific Northwest Eye Care, PS

Doing business as Pacific Northwest Eye Care

  • Eyewear Supplier
  • Olympia, WA
National Provider Identifier
1912131012
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PACIFIC NORTHWEST EYE CARE, PS
Doing business as
Pacific Northwest Eye Care
Practice address
1940 Black Lake Blvd SW
Olympia, WA 98512-5651
Phone
(360) 570-1780
Fax
(360) 570-1801
NPI assigned
May 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Dr. Ben Harold Wong Jr., O.DNPI 1275609463
Title
Co-Owner
Phone
(360) 570-1780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1940 Black Lake Blvd SW
Olympia, WA 98512-5651

Mailing address

1940 Black Lake Blvd SW
Olympia, WA 98512-5651
Phone (360) 570-1780

Other names 1

  • Pacific Northwest Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

1940 Black Lake Blvd SW
Olympia, WA 98512
Phone (360) 570-1780

Practitioners & affiliated clinicians

Practitioners 3

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": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1912131012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 BLACK LAKE BLVD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125651",
            "telephone_number": "360-570-1780",
            "fax_number": "360-570-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 BLACK LAKE BLVD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125651",
            "telephone_number": "360-570-1780",
            "fax_number": "360-570-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST EYE CARE, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "360-570-1780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Northwest Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.