Island Optometry Clinic, Inc., P.S.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1542 Issued in WA

Legal business name

ISLAND OPTOMETRY CLINIC, INC., P.S.

Practice address

1610 Commercial Ave
Anacortes, WA 98221-2275

Phone

(360) 293-2127

Fax

(360) 293-1354

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Melvin L Farnsworth, O.D.NPI 1366519050

Title

Owner

Phone

(360) 293-2127

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melvin L Farnsworth, O.D.

  • Optometrist
  • Anacortes, WA
  • NPI 1366519050
  Authorized official Same address or phone
• Kristi Kaylynn Poe, O.D.

  • Optometrist
  • Longview, WA
  • NPI 1386878965
  NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992872584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 WHISTLE LAKE RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214385",
            "telephone_number": "360-293-2127",
            "fax_number": "360-293-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 COMMERCIAL AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212275",
            "telephone_number": "360-293-2127",
            "fax_number": "360-293-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND OPTOMETRY CLINIC, INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARNSWORTH",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-293-2127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2424109",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Island County Dermatology, PLLC (Island Skin Cancer Center)
• Island Eye Physicians & Surgeons
• Island Eye Physicians & Surgeons
• Island Health Consulting Inc
• Island Internal Medicine Inc P S
• Island Optometry PLLC
• Island Surgeons PS Inc
• J,K &L, Inc. (San Juan Rehabilitation and Care Center)
• Forest Jacobson, LICSW
• Michael C James, MD

• Optometrist in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Optometrist in Washington

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