Active NPI
Twin Harbors Eye Center PS
- Ophthalmology Physician
- Aberdeen, WA
National Provider Identifier
1962690701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD28344
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD60310191 | WA | |
| Ophthalmology Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Aberdeen, WA
- NPI 1902916703
-
- Optometrist
- Olympia, WA
- NPI 1902910946
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.