Organization Active NPI

Twin Harbors Eye Center PS

  • Ophthalmology Physician
  • Aberdeen, WA
National Provider Identifier
1962690701
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD28344 Issued in WA
Legal business name
TWIN HARBORS EYE CENTER PS
Practice address
207 S Chehalis St
Aberdeen, WA 98520-2945
Phone
(360) 533-2020
Fax
(360) 533-1978
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Dr. Susan Ruyle, M.D.
Title
Owner/Operator
Phone
(360) 533-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OD60310191 WA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MD28344 WA Primary

Addresses

Primary practice location

207 S Chehalis St
Aberdeen, WA 98520-2945

Mailing address

207 S Chehalis St
Aberdeen, WA 98520-2945
Phone (360) 533-2020

Other names 1

  • Twin Harbors Optical Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1962690701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S CHEHALIS ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202945",
            "telephone_number": "360-533-2020",
            "fax_number": "360-533-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S CHEHALIS ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202945",
            "telephone_number": "360-533-2020",
            "fax_number": "360-533-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN HARBORS EYE CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "RUYLE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "360-533-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60310191",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD28344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Harbors Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.