Active NPI
Roy W. Hinze, O.D.
- Optometrist
- Yakima, WA
National Provider Identifier
1932191236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 848
- Practice address
- 5 S 12TH Ave
Yakima, WA 98902-3106 - Phone
- (509) 248-2020
- Fax
- (509) 248-2010
- NPI assigned
- Aug 22, 2005
- Reactivated
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 848 | WA | Primary |
Addresses
Primary practice location
5 S 12TH Ave
Yakima, WA 98902-3106
Mailing address
5 S 12TH Ave
Yakima, WA 98902-3106
Phone (509) 248-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2238202 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 848 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1932191236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 S 12TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023106",
"telephone_number": "509-248-2020",
"fax_number": "509-248-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 S 12TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023106",
"telephone_number": "509-248-2020",
"fax_number": "509-248-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINZE",
"first_name": "ROY",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2008-01-07",
"deactivation_date": "2006-03-27",
"reactivation_date": "2006-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2238202",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
- Michael Hinkle
- Gerald Hino
- John Hinrichs
- Ethan Douglas Hinton, PTA
- Heather Jacqueline Hinton, M.S.
- Martha A. Hipolito
- Chandler James Hire, ND
- Hires Family Resources (Bethel Ridge Family Resources)
- Hires Family Resources, Inc (Bethel Ridge Family Resources)
- Hires Family Resources, Inc. (Bethel Ridge Family Resources)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.