Organization Active NPI

Myoptics, LLC

  • Optometrist
  • Federal Way, WA
National Provider Identifier
1982934634
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60063073 Issued in WA
Legal business name
MYOPTICS, LLC
Practice address
1701 S Commons
Federal Way, WA 98003-6037
Phone
(253) 529-8314
Fax
(253) 941-4980
NPI assigned
Dec 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Alice Phuong Nguyen, OD
Title
President
Phone
(832) 260-6468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 60063073 WA Primary

Addresses

Primary practice location

1701 S Commons
Federal Way, WA 98003-6037

Mailing address

1215 Dexter Avenue N.
Apt. 835
Seattle, WA 98109
Phone (832) 260-6468

National Provider Directory

National Provider Directory

Locations

18600 Alderwood Mall Pkwy
Lynnwood, WA 98037
Phone (425) 590-7781

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1982934634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DEXTER AVENUE N.",
            "address_2": "APT. 835",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98109",
            "telephone_number": "832-260-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S COMMONS",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036037",
            "telephone_number": "253-529-8314",
            "fax_number": "253-941-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOPTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "PHUONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-260-6468",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60063073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.