JEFFREY B. WORRELL/ ESP OPTICAL (NPI# 1760533251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760533251 |
| Entity Type | Organization |
| Organization Name | JEFFREY B. WORRELL/ ESP OPTICAL |
| Practice Address |
1611 E Division St Mount Vernon WA 98274-4503 |
| Practice Telephone | 3603369559 |
| Practice Fax Number | 3603369559 |
| Mailing Telephone | 3603369559 |
| Mailing Fax Number | 3603369559 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MR. JEFFREY B. WORRELL (OWNER) |
| Authorized Official Telephone | 3603369559 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | DO00000609 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2021368 | 05 |
| Street Address |
1611 E DIVISION ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043376171 | Jeffrey B. Worrell | Technician/Technologist | 1611 E Division St, Mount Vernon, WA 98274-4503 | 2007-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| 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 |
|---|---|---|---|---|
| 1952950875 | Mount Vernon Eye Care | Eyewear Supplier (Equipment, not the service) | 108 Gramatan Ave, Mount Vernon, NY 10550-1306 | 2019-09-04 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1922265263 | Mt. Vernon Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 109 Gramatan Ave, Mount Vernon, NY 10550-1322 | 2008-05-22 |
| 1851561575 | Dr Mark C Hurst Optometrist Ltd | Eyewear Supplier (Equipment, not the service) | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | 2008-03-10 |
| 1639347016 | Tw White Od PC | Eyewear Supplier (Equipment, not the service) | 410 W Hayward Dr, Mount Vernon, MO 65712-7368 | 2008-02-19 |
| 1285817973 | Lloyd L. Cain O.d | Eyewear Supplier (Equipment, not the service) | 205 Richmond Street, Mount Vernon, KY 40456 | 2007-12-17 |
| 1003950460 | Opticare Inc | Eyewear Supplier (Equipment, not the service) | 855 Coshocton Ave Ste 15, Mount Vernon, OH 43050-1975 | 2007-02-19 |
| 1184714321 | Wal-mart Stores, Inc | Eyewear Supplier (Equipment, not the service) | 2301 Freeway Drive, Mount Vernon, WA 98273 | 2006-10-16 |
| 1568945855 | Knox Community Hospital | Eyewear Supplier (Equipment, not the service) | 1355 Yauger Rd, Mount Vernon, OH 43050 | 2018-09-12 |
| 1083993380 | Central Ohio Eye Surgeons, Inc | Eyewear Supplier (Equipment, not the service) | 1355 Yauger Rd, Mount Vernon, OH 43050-9233 | 2011-08-04 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
Please comment or provide details below to improve the information on JEFFREY B. WORRELL/ ESP OPTICAL.
| 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.