NPIMap

Organization Active NPI

Eyes on Pearle, PLLC

  • Optometrist
  • Olympia, WA
National Provider Identifier
1992328165
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYES ON PEARLE, PLLC
Practice address
625 Black Lake Blvd SW Ste 110
Olympia, WA 98502-8603
Phone
(360) 357-2542
Fax
(360) 357-6341
NPI assigned
May 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Authorized official

Name
Dr. Paul Olsovsky, ODNPI 1700112125
Title
Owner
Phone
(360) 357-2542

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 Primary

Addresses

Primary practice location

625 Black Lake Blvd SW Ste 110
Olympia, WA 98502-8603

Mailing address

625 Black Lake Blvd SW Ste 110
Olympia, WA 98502-8603
Phone (360) 357-2542

Other names 1

  • Paul Olsovsky, O.D. Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eyesonpearle@protonmail.com Direct

National Provider Directory

National Provider Directory

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": "1590105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1992328165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BLACK LAKE BLVD SW STE 110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028603",
            "telephone_number": "360-357-2542",
            "fax_number": "360-357-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BLACK LAKE BLVD SW STE 110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028603",
            "telephone_number": "360-357-2542",
            "fax_number": "360-357-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON PEARLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "OLSOVSKY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-357-2542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eyesonpearle@protonmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "625 Black Lake Blvd SW Ste 110",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985028603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Paul Olsovsky, O.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.