PACIFIC NORTHWEST EYE CARE, PS (NPI# 1659435709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659435709 |
| Entity Type | Organization |
| Organization Name | PACIFIC NORTHWEST EYE CARE, PS |
| Other Organization Name | PACIFIC NORTHWEST EYE CARE |
| Practice Address |
1940 Black Lake Blvd Sw Olympia WA 98512-5651 |
| Practice Telephone | 3605701780 |
| Practice Fax Number | 3605701801 |
| Mailing Telephone | 3605701780 |
| Mailing Fax Number | 3605701801 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-04-21 |
| Authorized Official Name | DR. BEN HAROLD WONG JR. (CO-OWNER) |
| Authorized Official Telephone | 3605701780 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2025112 | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Northwest Eye Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912131012 | Pacific Northwest Eye Care, Ps | Eyewear Supplier (Equipment, not the service) | 1940 Black Lake Blvd Sw, Olympia, WA 98512-5651 | 2009-05-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PACIFIC NORTHWEST EYE CARE, PS | 1940 Black Lake Blvd Sw, Olympia, WA 98512-5651 |
| Street Address |
1940 BLACK LAKE BLVD SW |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98512-5651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275609463 | Ben Harold Wong Jr. | Optometrist | 1940 Black Lake Blvd Sw, Olympia, WA 98512-5651 | 2006-11-28 |
| 1912131012 | Pacific Northwest Eye Care, Ps | Eyewear Supplier (Equipment, not the service) | 1940 Black Lake Blvd Sw, Olympia, WA 98512-5651 | 2009-05-05 |
| 1285700484 | Linda Ann Maxey-wong | Optometrist | 1940 Black Lake Blvd Sw, Olympia, WA 98512-5651 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| Find all providers in zip 98512 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649571118 | Brian Paul Finley | Optometrist | 3612 Wesley Dr Nw, Olympia, WA 98502-3746 | 2010-11-15 |
| 1386836591 | Van B. Ly | Optometrist | 319 7th Ave Se, Suite #101, Olympia, WA 98501-1325 | 2007-08-11 |
| 1811015688 | Richard Duane Hehn | Optometrist | 651 Sleater Kinney Se, Suite 1300, Olympia, WA 98503 | 2007-03-27 |
| 1205961836 | Kornmesser Optometry Clinic Inc Ps | Optometrist | 1405 Harrison Ave Nw Ste 101, Olympia, WA 98502-5327 | 2007-02-23 |
| 1881754182 | Dr. Kimberly Carr-yeates, O.d., P.s. | Optometrist | 625 Black Lake Blvd Sw Ste 369, Olympia, WA 98502-8606 | 2006-12-11 |
| 1275609463 | Ben Harold Wong Jr. | Optometrist | 1940 Black Lake Blvd Sw, Olympia, WA 98512-5651 | 2006-11-28 |
| 1851402085 | Kenneth Douglas Common | Optometrist | 625 Black Lake Blvd Sw, Suite #110, Olympia, WA 98502-5066 | 2006-08-31 |
| 1407963770 | Reid I Mamiya | Optometrist | 115 New View Ct Ne, Olympia, WA 98506-5250 | 2006-08-24 |
| 1508894007 | Susan M Dini | Optometrist | 2939 Benjamin Ct Se, Olympia, WA 98501-4807 | 2006-06-30 |
| 1770560708 | Michael D Moore | Optometrist | 2600 Martin Way E, Ste C, Olympia, WA 98506-4974 | 2005-12-30 |
| Find all providers in OLYMPIA | ||||
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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.