Charles Lewis Jobe

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

13909 Meridian E Ste A4
Puyallup, WA 98373-9180

Phone

(253) 848-2338

Fax

(253) 848-5543

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Willows Optical Shop Inc.

  • Optician
  • Puyallup, WA
  • NPI 1831302223
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992925911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13909 MERIDIAN E STE A4",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983739180",
            "telephone_number": "253-848-2338",
            "fax_number": "253-848-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 MERIDIAN E STE A4",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983739180",
            "telephone_number": "253-848-2338",
            "fax_number": "253-848-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBE",
        "first_name": "CHARLES",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "WI3145",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jet Spectrum Services LLC
• Lavina Jethani, M.D.
• Maria Victoria Jimeno, M.D.
• Elizabeth Jinguji
• Jinsam Kwon DDS PLLC
• Navi Johal, NP
• Mendhy Johansen, LMP
• Paige E Johansen
• John Daniel M.D, PS, Inc.
• John Hung, MD, PLLC

• Optician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.