LEWIS COUNTY EYE & VISION, INC., P.S. (NPI# 1871692681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871692681 |
| Entity Type | Organization |
| Organization Name | LEWIS COUNTY EYE & VISION, INC., P.S. |
| Practice Address |
1179 S Market Blvd Chehalis WA 98532-3427 |
| Mailing Address |
Po Box 1126 Chehalis WA 98532-0169 |
| Practice Telephone | 3607489228 |
| Practice Fax Number | 3607484617 |
| Mailing Telephone | 3607489228 |
| Mailing Fax Number | 3607484617 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | DR. JOHN C STODDARD (CEO) |
| Authorized Official Telephone | 3607489228 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE | HE7836 | 01 |
| WA | 2046506 | 05 | |
| WA | L&I | 0036580 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LEWIS COUNTY EYE & VISION, INC., P.S. | 1179 South Market Blvd, Chehalis, WA 98532 |
| Street Address |
1179 S MARKET BLVD |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699874420 | John C Stoddard | Optometrist | 1179 S Market Blvd, Chehalis, WA 98532-3427 | 2006-09-21 |
| 1740389519 | Robert P Burrows | Optometrist | 1179 S Market Blvd, Chehalis, WA 98532-3427 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538148002 | Anne R Barber | Optometrist | 312 4th St Se, Suite C, Puyallup, WA 98372-3269 | 2006-01-12 |
| 1093042525 | Vivian May Wai Manh | Optometrist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2009-11-04 |
| 1730399049 | Northwest Pediatric Eye Care P.s. | Optometrist | 14645 Bel Red Rd, Ste E102, Bellevue, WA 98007-3929 | 2007-05-23 |
| 1033294103 | Vision Care Associates Pllc | Optometrist | 8204 27th St W, University Place, WA 98466-2719 | 2006-10-26 |
| 1861436438 | Karen L Preston | Optometrist | 14645 Bel Red Rd, Ste E102, Bellevue, WA 98007-3929 | 2006-06-15 |
Please comment or provide details below to improve the information on LEWIS COUNTY EYE & VISION, INC., P.S..
| 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.