Northwest Vision and Learning Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

1583TX Issued in WA

Legal business name

NORTHWEST VISION AND LEARNING CENTER

Practice address

1705 South 324TH Place
Federal Way, WA 98003

Phone

(253) 661-6005

Fax

(253) 661-6005

NPI assigned

Mar 30, 2007

Last updated

Jan 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Curtis R Baxstrom, ODNPI 1699767285

Title

Owner

Phone

(253) 661-6005

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Northwest Vision and Learning Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Vision and Learning Center

  • Vision Therapy Optometrist
  • Federal Way, WA
  • NPI 1073716098
  NPD tax ID

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.

• Curtis R. Baxstrom, OD

  • Optometrist
  • Federal Way, WA
  • NPI 1699767285
  NPD Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1952421372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 SOUTH 324TH PLACE",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-661-6005",
            "fax_number": "253-661-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 SOUTH 324TH PLACE",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-661-6005",
            "fax_number": "253-661-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST VISION AND LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "BAXSTROM",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-661-6005",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1583TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015261",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Kidney Centers (Federal Way West Campus Kidney Center)
• Northwest Observation Associates PC
• Northwest Physician Associates, Apc
• Northwest Resources One, LLC
• Northwest Vision and Learning Center
• Krista T Nugent
• Norma Elizabeth Nunez-Dolmo, PA-C
• Enrique Jose Nunez
• Ulises E Nunez
• Nurani, Mitchell, Kim, PC (Brightnow Dental - Federal Way)

• Optometrist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.