University Vision Clinic, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1860TX Issued in WA

Legal business name

UNIVERSITY VISION CLINIC, INC.

Practice address

4115 University Way NE
#101
Seattle, WA 98105-6294

Phone

(206) 633-2000

Fax

(206) 633-4857

NPI assigned

Apr 27, 2011

Organization subpart

No

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

Authorized official

Name

Mark Raymond Hovander, O.D.NPI 1609846419

Title

Owner

Phone

(206) 633-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Mark Hovander, O.D.

  • Corneal and Contact Management Optometrist
  • Seattle, WA
  • NPI 1609846419
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1962793752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 UNIVERSITY WAY NE",
            "address_2": "#101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056294",
            "telephone_number": "206-633-2000",
            "fax_number": "206-633-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 UNIVERSITY WAY NE",
            "address_2": "#101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056294",
            "telephone_number": "206-633-2000",
            "fax_number": "206-633-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY VISION CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "HOVANDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-633-2000",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "1860TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Washington Oral & Maxillofacial Surgery Dept.
• University of Washington Parent-Child Assistance Program
• University of Washington School of Medicine
• University of Washington, Behavioral Researcy & Therapy Clinics
• University Oral Surgery
• Shradha Unnithan
• Florence Unno, M.D., M.A.
• Momoe Unoshima, LMP
• Unravel Therapeutics
• Unravel, LLC

• Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.