PAUL W. DONNELLY (NPI# 1316169709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316169709 |
| Entity Type | Organization |
| Organization Name | PAUL W. DONNELLY |
| Other Organization Name | CLINTWORTH OPTICAL |
| Practice Address |
108 22nd Ave Sw Suite 2 Olympia WA 98501-2871 |
| Practice Telephone | 3603523140 |
| Mailing Telephone | 3603523140 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | MR. PAUL W DONNELLY (OWNER) |
| Authorized Official Telephone | 3603523140 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | DO00000478 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PAUL DONNELLY NPI | 1750405320 | 01 |
| Other Name | Type Code |
|---|---|
| CLINTWORTH OPTICAL | Doing Business As Name - Organization |
| Street Address |
108 22ND AVE SW SUITE 2 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-2871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354144 | Danny Eugene Davidson | Dentist | 108 22nd Ave Sw, Ste 16, Olympia, WA 98501-2871 | 2005-05-27 |
| 1275928251 | Jeff Lemon Dmd | Dentist | 108 22nd Ave Sw, Suite 12, Olympia, WA 98501-2871 | 2015-04-06 |
| 1275787160 | Dr.danny E Davidson, Dds Ps | Dentist | 108 22nd Ave Sw, #16, Olympia, WA 98501-2871 | 2008-11-05 |
| 1174796833 | South Sound Neuropsychology Inc. | Clinical Neuropsychologist | 108 22nd Ave Sw, Suite 14, Olympia, WA 98501-2871 | 2008-04-02 |
| 1750405320 | Paul W Donnelly | Technician/Technologist | 108 22nd Ave Sw, Olympia, WA 98501-2871 | 2007-03-19 |
| 1033260542 | Betty G Hummel | Counselor | 108 22nd Ave Sw, Olympia, WA 98501-2871 | 2007-01-13 |
| 1356405443 | Gordon Yamaguchi Dds Ps | Dentist | 108 22nd Ave Sw, Ste 24, Olympia, WA 98501-2871 | 2006-12-21 |
| 1962574079 | Nikki Lou Cole | Speech-Language Pathologist | 108 22nd Ave Sw, Ste. 14, Olympia, WA 98501-2871 | 2006-11-14 |
| 1346310919 | Charles Eugene Fankhauser | Dentist | 108 22nd Ave Sw, Suite 12, Olympia, WA 98501-2871 | 2006-11-09 |
| 1154408383 | Howard A. Lloyd | Clinical Neuropsychologist | 108 22nd Ave Sw, Suite 14, Olympia, WA 98501-2871 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619031275 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 625 Black Lake Blvd Sw Ste 110, Olympia, WA 98502-8603 | 2006-12-20 |
| 1184645251 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 625 Black Lake Blvd, Olympia, WA 98502-5066 | 2006-07-22 |
| 1912131012 | Pacific Northwest Eye Care, Ps | Eyewear Supplier (Equipment, not the service) | 1940 Black Lake Blvd Sw, Olympia, WA 98512-5651 | 2009-05-05 |
| 1043365430 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 625 Black Lake Blvd, Capital Mall Ste #369, Olympia, WA 98502-5066 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004477 | The Vancouver Clinic Inc Ps | Eyewear Supplier (Equipment, not the service) | 2 S 56th Pl Ste 205, Ridgefield, WA 98642-3427 | 2020-05-15 |
| 1619514825 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 11111 Ne 8th St Ste 147, Bellevue, WA 98004-4489 | 2019-12-06 |
| 1790341675 | Zachary Robert Cooper | Eyewear Supplier (Equipment, not the service) | 301 Queen Anne Ave N # 506, Seattle, WA 98109-4513 | 2019-05-15 |
| 1235795626 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1052 Springwater Ave, Wenatchee, WA 98801-1546 | 2019-05-12 |
| 1154987535 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9326 N Division St, Spokane, WA 99218-1227 | 2019-05-11 |
| 1699331074 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2529 Main St Ste P6-a, Union Gap, WA 98903-1690 | 2019-05-11 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1437648508 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 4502 S Steele St Ste 700, Tacoma, WA 98409-7224 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1457860702 | Visionpros Usa Inc | Eyewear Supplier (Equipment, not the service) | 1750 Grant Ave, Blaine, WA 98230-5155 | 2017-09-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.