Organization Active NPI

Insight Eye Clinic, LLC

  • Optometrist
  • Vancouver, WA
National Provider Identifier
1982185534
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INSIGHT EYE CLINIC, LLC
Practice address
1900 NE 162ND Ave Ste D103
Vancouver, WA 98684-3015
Phone
(360) 702-8184
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Kim Forgione, OD
Title
Member-Manager
Phone
(360) 702-8184

Specialties & licenses 1

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

Addresses

Primary practice location

1900 NE 162ND Ave Ste D103
Vancouver, WA 98684-3015

Mailing address

1514 SW 6TH St
Battle Ground, WA 98604-3000
Phone (360) 702-8184

National Provider Directory

National Provider Directory

Locations

1900 NE 162nd Ave
Ste D103
Vancouver, WA 98684
Phone (360) 702-8184

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1982185534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 SW 6TH ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986043000",
            "telephone_number": "360-702-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NE 162ND AVE STE D103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986843015",
            "telephone_number": "360-702-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT EYE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "FORGIONE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "360-702-8184",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.