Boys Smith Vision Center Medical PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00027188 Issued in WA

Legal business name

BOYS SMITH VISION CENTER MEDICAL PLLC

Practice address

109 N Pine St
Ellensburg, WA 98926-3330

Phone

(509) 962-3937

NPI assigned

May 12, 2008

Last updated

Jun 30, 2009By 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

Patrick John Boys Smith

Title

Administrator

Phone

(509) 962-3937

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1962679662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N PINE ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263330",
            "telephone_number": "509-962-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N PINE ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263330",
            "telephone_number": "509-962-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS SMITH VISION CENTER MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "BOYS SMITH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-962-3937"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00027188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00019178",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1065317",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tuesday Marie Bosch, R.PH.
• Erin Celeste Bosko
• Carrie Bow, MACCHM
• Kristina A Bowen, DO
• Tersha Kalinn Bowser
• Haylee Marie Bradley, CAAR.CG700009231
• Brainstorm Rehabilitation, LLC (Brainstorm Rehabilitation)
• June Gweneth Bredin, MD
• Bridgeman Chiropractic PLLC
• David B Bridgeman, DC

• Ophthalmology Physician in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.