WILLOWS OPTICAL SHOP INC. (NPI# 1831302223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831302223 |
| Entity Type | Organization |
| Organization Name | WILLOWS OPTICAL SHOP INC. |
| Practice Address |
13909 Meridian E Suite A-4 Puyallup WA 98373-9180 |
| Practice Telephone | 2538482338 |
| Practice Fax Number | 2538405543 |
| Mailing Telephone | 2538482338 |
| Mailing Fax Number | 2538405543 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHARLES JOBE (VICE PRESIDENT) |
| Authorized Official Telephone | 2538482338 |
| Authorized Official Credential | L.D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
WA | Eye and Vision Services Providers |
| Street Address |
13909 MERIDIAN E SUITE A-4 |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98373-9180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467446211 | Jerry Raymond Jones | Optometrist | 13909 Meridian E, A4, Puyallup, WA 98373-9180 | 2005-09-08 |
| 1528359437 | Ariana Elaine Ramirez | Massage Therapist | 13909 Meridian E, Suite A-2, Puyallup, WA 98373-9180 | 2011-04-26 |
| 1033425202 | Heidi Nader, Lmp, LLC | Massage Therapist | 13909 Meridian E, Suite A2, Puyallup, WA 98373-9180 | 2010-08-26 |
| 1679893283 | Megan Marie Loran | Massage Therapist | 13909 Meridian E, Ste #a2, Puyallup, WA 98373-9180 | 2010-06-04 |
| 1598982662 | Tmb Partnership | Physical Therapist | 13909 Meridian E, Suite A-2, Puyallup, WA 98373-9180 | 2007-04-19 |
| 1871683144 | Renton Vision Center Inc Ps | Optometrist | 13909 Meridian E, A3, Puyallup, WA 98373-9180 | 2006-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
| 1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
| 1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
| 1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
| 1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
| 1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
| 1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
| Find all providers in zip 98373 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992925911 | Charles Lewis Jobe | Technician/Technologist | 13909 Meridian E Ste A4, Puyallup, WA 98373-9180 | 2007-05-01 |
| 1508929696 | Wal-mart Stores Inc. | Technician/Technologist | 16502 Meridian Ave. E., Puyallup, WA 98375 | 2006-12-19 |
| 1124526900 | Melanie Lynn Duncan | Technician/Technologist | 3500 S Meridian Ste 926, Puyallup, WA 98373-3722 | 2018-01-26 |
| 1336421668 | Rainier Sight and Sound,inc | Technician/Technologist | 12623 Meridian E Ste B1a, Puyallup, WA 98373-3475 | 2011-09-13 |
| 1083739759 | Lisa Malone | Technician/Technologist | 12623 Meridian E, B1-a, Puyallup, WA 98373-3469 | 2007-03-20 |
| 1144310483 | Wal-mart Stores, Inc | Technician/Technologist | 310 31st Ave Se, Puyallup, WA 98374-1232 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358424 | Amy King | Technician/Technologist | 111 E North Bend Way Ste A, North Bend, WA 98045-8152 | 2020-02-14 |
| 1477115863 | Nicole Ann Hanby | Technician/Technologist | 4325 University Way Ne, Seattle, WA 98105-5808 | 2019-07-05 |
| 1033772629 | Margaret Wilder Burke | Technician/Technologist | 2718 Patton St, Bellingham, WA 98225-1545 | 2019-04-18 |
| 1750846093 | Rebecca E Doherty | Technician/Technologist | 216 E 5th St Ste A, Port Angeles, WA 98362-3008 | 2019-01-31 |
| 1538641535 | Rebecca Swislow | Technician/Technologist | 20627 59th Dr Ne, Arlington, WA 98223-8287 | 2018-09-05 |
| 1588143986 | Robin Nordlum | Technician/Technologist | 814 Ne 123rd Ave, Vancouver, WA 98684-5842 | 2018-08-07 |
| 1174016943 | National Vision, Inc. | Technician/Technologist | 15015 Main St Ste 104, Bellevue, WA 98007-5229 | 2018-06-07 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1295181626 | Lisa D Henry | Technician/Technologist | 620 Se Everett Mall Way Ste 320, Everett, WA 98208-3279 | 2016-05-04 |
| 1104285311 | Rachel Crites | Technician/Technologist | 317 N Pearl St, Ellensburg, WA 98926-3363 | 2016-02-16 |
| Find all providers with the same taxonomy | ||||
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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.