SPOKANE OPTICAL COMPANY LLC (NPI# 1386992717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386992717 |
| Entity Type | Organization |
| Organization Name | SPOKANE OPTICAL COMPANY LLC |
| Other Organization Name | SPOKANE OPTICAL COMPANY LLC |
| Practice Address |
9651 N Nevada St Spokane WA 99218 |
| Mailing Address |
427 S Bernard St Spokane WA 99204-2509 |
| Practice Telephone | 5094891272 |
| Practice Fax Number | 5094898756 |
| Mailing Telephone | 5094560107 |
| Mailing Fax Number | 5097472635 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | DR. RANDALL K JACOBSON (PHYSICIAN) |
| Authorized Official Telephone | 5094560107 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 602617024 | WA | Suppliers |
| Other Name | Type Code |
|---|---|
| Spokane Optical Company LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 31 E Central Ave, Spokane, WA 992081164 | 5094891270 | 5094836547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972851020 | Spokane Optical Company LLC | Eyewear Supplier (Equipment, not the service) | 16201 E Indiana Ave, 5000, Spokane Valley, WA 99216-2830 | 2012-08-21 |
| 1922006758 | Spokane Optical Company LLC | Eyewear Supplier (Equipment, not the service) | 427 S Bernard St, Spokane, WA 99204-2509 | 2005-07-14 |
| Street Address |
9651 N NEVADA ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548289374 | Janeen Barnes | Physical Therapy Assistant | 9651 N Nevada St, Spokane, WA 99218 | 2006-07-19 |
| 1447728084 | Derek Salminen | Physical Therapist | 9651 N Nevada St, Spokane, WA 99218-1132 | 2018-11-12 |
| 1528542792 | Julie M Johnson | Occupational Therapy Assistant | 9651 N Nevada St, Spokane, WA 99218-1132 | 2018-09-24 |
| 1053890830 | Hailey Michelle Jahn | Physical Therapist | 9651 N Nevada St, Spokane, WA 99218-1132 | 2018-08-13 |
| 1851870745 | Elizabeth Greenhalgh | Occupational Therapist | 9651 N Nevada St, Spokane, WA 99218-1132 | 2018-08-10 |
| 1164914321 | Carsen Jessup | Speech-Language Pathologist | 9651 N Nevada St, Spokane, WA 99218-1132 | 2018-06-04 |
| 1750839742 | Alyanna Acala Schild | Optometrist | 9651 N Nevada St, Spokane, WA 99218 | 2016-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282455 | Timary Mathena | Specialist/Technologist | 11107 North Astor Road, Spokane, WA 99218 | 2018-04-19 |
| 1619423316 | Hi5 Orthodontics | Clinic/Center | 9425 N Nevaa, Suite 100, Spokane, WA 99218 | 2016-09-01 |
| 1245689389 | Heather Beats | Massage Therapist | 101 E. Hastings Rd. Ste G, Spokane, WA 99218 | 2016-06-09 |
| 1770979411 | Sparks Massage LLC-dba Elements Masssage | Massage Therapist | 101 E. Hastings Rd., Spokane, WA 99218 | 2015-04-09 |
| 1902295363 | Annabelle Morgan | Midwife | 11725 N Lincoln Ct, Spokane, WA 99218 | 2015-01-22 |
| 1578967543 | Deana Marie Ray | Massage Therapist | 1231 N Division, Ste 105, Spokane, WA 99218 | 2014-10-20 |
| 1770909889 | Krista Dye | Occupational Therapist | 9827 N Nevada, Spokane, WA 99218 | 2014-03-13 |
| 1265855845 | Breanna Zeis | Massage Therapist | 624 W. Hastings, Suite 16, Spokane, WA 99218 | 2014-02-02 |
| 1730516642 | Christie Nygaard | Massage Therapist | 101 E. Hastings Rd, Spokane, WA 99218 | 2013-10-09 |
| 1629312749 | Michelle Reid | Community Health Worker | 10709 N Madison, Spokane, WA 99218 | 2012-11-15 |
| Find all providers in zip 99218 | ||||
| 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 |
|---|---|---|---|---|
| 1154987535 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9326 N Division St, Spokane, WA 99218-1227 | 2019-05-11 |
| 1619497690 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 7808 N Division St, Spokane, WA 99208-6780 | 2017-06-21 |
| 1558589697 | Encore Vision, Inc | Eyewear Supplier (Equipment, not the service) | 7826 N Market St Ste B, Spokane, WA 99217-7857 | 2007-04-23 |
| 1528108644 | Frame Factory Optical | Eyewear Supplier (Equipment, not the service) | 628 S Washington St, Spokane, WA 99204-2518 | 2007-02-07 |
| 1710031711 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6029 N. Division Street, Spokane, WA 99207 | 2007-01-23 |
| 1700942638 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | N 4700 Division, Northtown Mall, Spokane, WA 99207-1402 | 2006-12-28 |
| 1538250741 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4750 N Division St Spc 1010, Spokane, WA 99207-1411 | 2006-09-27 |
| 1184638454 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4730 N. Division, Spokane, WA 99207 | 2006-07-29 |
| 1902827884 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 14730 East Indiana, Spokane, WA 99216 | 2006-07-23 |
| 1508898164 | America's Best Contacts & Eyeglasses | Eyewear Supplier (Equipment, not the service) | 9652 N Newport Hwy, Spokane, WA 99218-1221 | 2006-07-06 |
| Find all providers in SPOKANE | ||||
Please comment or provide details below to improve the information on SPOKANE OPTICAL COMPANY LLC.
| 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.