Organization Active NPI

Greenwood Vision, LLC

  • Optometrist
  • Seattle, WA
National Provider Identifier
1972978260
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3028 Issued in WA
Legal business name
GREENWOOD VISION, LLC
Practice address
133 N 85TH St
Seattle, WA 98103-3601
Phone
(206) 783-2050
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Dr. Marisa K. Monterola, O.D.NPI 1164586467
Title
Owner/Optometrist
Phone
(206) 783-2050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3028 WA Primary

Addresses

Primary practice location

133 N 85TH St
Seattle, WA 98103-3601

Mailing address

133 N 85TH St
Seattle, WA 98103-3601
Phone (206) 783-2050

Other names 1

  • Greenwood Optical; Dr. Marisa K. Monterola Doing business as

National Provider Directory

National Provider Directory

Locations

133 N 85th St
Seattle, WA 98103
Phone (206) 783-2050

Practitioners & affiliated clinicians

Practitioners 1

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": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1972978260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N 85TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033601",
            "telephone_number": "206-783-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N 85TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033601",
            "telephone_number": "206-783-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "MONTEROLA",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "206-783-2050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Optical; Dr. Marisa K. Monterola",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.