D. TODD WYLIE, O.D., INC. (NPI# 1730378308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730378308 |
| Entity Type | Organization |
| Organization Name | D. TODD WYLIE, O.D., INC. |
| Other Organization Name | ADVANCED EYECARE CENTER |
| Practice Address |
104 S Freya Street Suite 220, White Flag Bldg Spokane WA 99202-4867 |
| Practice Telephone | 5095355855 |
| Practice Fax Number | 5095353916 |
| Mailing Telephone | 5095355855 |
| Mailing Fax Number | 5095353916 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2019-03-21 |
| Authorized Official Name | DR. DONALD TODD WYLIE (OWNER) |
| Authorized Official Telephone | 5095355855 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 1528TX | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE | GAB20237 | 01 |
| WA | 2024842 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Eyecare Center | Doing Business As Name - Organization |
| Street Address |
104 S FREYA STREET SUITE 220, WHITE FLAG BLDG |
| City | SPOKANE |
| State | WA |
| Zip Code | 99202-4867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099552 | Morgan Physiotherapy, Pllc | Physical Therapist | 716 South Arthur Street, Spokane, WA 99202 | 2020-06-26 |
| 1659926863 | Hiliary Beatty | Marriage & Family Therapist | 3101 E Boone Avenue, Spokane, WA 99202 | 2019-08-05 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1750858171 | Elyse M Tullar | Counselor | 3101 E Boone Ave, Spokane, WA 99202 | 2018-10-24 |
| 1952830333 | Kaleb E Walker | Case Manager/Care Coordinator | 1002 N Superior, Spokane, WA 99202 | 2017-06-08 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1376095141 | Clinton George Ralph | Counselor | 624 S Cowley, Spokane, WA 99202 | 2016-10-27 |
| 1144772245 | Megan Nicole Korst | Counselor | 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 | 2016-10-25 |
| 1043766652 | Moffitt Children's Dentistry | Dentist | 520 S Cowley St Ste 101, Spokane, WA 99202 | 2016-09-01 |
| 1881147296 | Natalie Stine | Dietitian, Registered | 203 E Spague Avenue, Spokane, WA 99202 | 2016-08-02 |
| Find all providers in zip 99202 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801350350 | Ideal Option, Pllc | Clinic/Center | 901 N Monroe St Ste 322, Spokane, WA 99201-2148 | 2019-01-29 |
| 1679087043 | Amw Wellness LLC | Clinic/Center | 906 W 2nd Ave Fl 6, Spokane, WA 99201-4538 | 2017-11-21 |
| 1629319850 | Institute Medical Services, LLC | Clinic/Center | 10 N Post St, Spokane, WA 99201-0712 | 2013-03-13 |
| 1639357940 | Edward L Charbonneau, Dds | Clinic/Center | 1520 W Garland Ave, Spokane, WA 99205-2613 | 2008-02-08 |
| 1457958530 | Metta Wellness Nw Pllc | Clinic/Center | 904 W Riverside Ave Unit 1107, Spokane, WA 99210-0329 | 2020-10-02 |
| 1770074965 | Inland Northwest Health Services | Clinic/Center | 501 N Riverpoint Blvd Ste 245, Spokane, WA 99202-1649 | 2018-05-23 |
| 1306391446 | Providence Health & Services Washington | Clinic/Center | 2923 E 29th Ave, Spokane, WA 99223-4811 | 2016-08-18 |
| 1376097279 | Sport & Spine LLC | Clinic/Center | 3209 E 57th Ave, Ste F, Spokane, WA 99223-7040 | 2016-08-09 |
| 1396143319 | Inkare, LLC | Clinic/Center | 611 E 2nd Ave, Suite B, Spokane, WA 99202-6010 | 2014-12-07 |
| 1548674872 | Douglas W. Lyman, Od, Pllc | Clinic/Center | 7619 N Division St, Spokane, WA 99208-5613 | 2014-06-14 |
| Find all providers in SPOKANE | ||||
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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.