DAVE FAIRBANKS (NPI# 1912193103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912193103 |
| Entity Type | Individual |
| Full Name | DAVE FAIRBANKS |
| Practice Address |
1303 Cornwall Ave Bellingham WA 98225-4716 |
| Practice Telephone | 3606470421 |
| Mailing Telephone | 3606470421 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
WA | Eye and Vision Services Providers |
| Street Address |
1303 CORNWALL AVE |
| City | BELLINGHAM |
| State | WA |
| Zip Code | 98225-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205943867 | Tom Defigueiredo | Optometrist | 1303 Cornwall Ave, Bellingham, WA 98225-4716 | 2006-08-23 |
| 1063888717 | Aleksey Shkurat Od Pllc | Optometrist | 1303 Cornwall Ave, Bellingham, WA 98225-4716 | 2015-08-18 |
| 1255775631 | Marnie Tucker-spino | Optometrist | 1303 Cornwall Ave, Bellingham, WA 98225-4716 | 2013-04-29 |
| 1194034272 | Aleksey Shkurat | Optometrist | 1303 Cornwall Ave, Bellingham, WA 98225-4716 | 2010-10-06 |
| 1760607071 | Patrick Squires Od and Associates, Inc. | Optometrist | 1303 Cornwall Ave, Bellingham, WA 98225-4716 | 2007-04-13 |
| 1134276355 | Gary L. Dietz | Optometrist | 1303 Cornwall Ave, Bellingham, WA 98225-4716 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1770129264 | Ariella K Ross | Massage Therapist | 2701 Northwest Avenue, Bellingham, WA 98225 | 2019-11-20 |
| 1467006205 | Family Care Network, Pllc | Family Medicine | 805 W. Orchard Drive, Suite 6, Bellingham, WA 98225 | 2019-07-30 |
| 1487110375 | Rhonda Beth Steel | Massage Therapist | Fairhaven Harbor, 1310 9th Street Penthouse No. 504, Fairhaven/bellingham, WA 98225 | 2019-02-15 |
| 1366915316 | Alexander Knight Acupuncture Inc | Acupuncturist | 12 Bellwether Way, Suite 201, Bellingham, WA 98225 | 2019-01-02 |
| 1902372998 | Northwest Telepsychiatry, Pllc | Psychiatry & Neurology | 114 W. Magnolia St., Suite 505, Bellingham, WA 98225 | 2018-10-17 |
| 1639650336 | Jennifer Sue Cogen | Massage Therapist | 2701 Northwest Ave. (ohana Pacific, Inc.), Bellingham, WA 98225 | 2018-08-22 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1417468596 | Samantha Grace Smith | Counselor | 920 Harris Avenue, 202-e, Bellingham, WA 98225 | 2017-10-17 |
| 1710406731 | Shalom Maria Shreve | Counselor | 1133 Railroad Ave., Suite 100, Bellingham, WA 98225 | 2017-09-11 |
| Find all providers in zip 98225 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033772629 | Margaret Wilder Burke | Technician/Technologist | 2718 Patton St, Bellingham, WA 98225-1545 | 2019-04-18 |
| 1013396688 | National Vision, Inc. | Technician/Technologist | 4277 Meridian St, Ste 104, Bellingham, WA 98226-6483 | 2015-05-28 |
| 1396903324 | Aisling Eyewear, LLC | Technician/Technologist | 1105 Mckenzie Ave, Bellingham, WA 98225-7041 | 2008-05-27 |
| 1497891725 | Eyes Rite Optical Group LLC | Technician/Technologist | 311 Telegraph Rd, Bellingham, WA 98226-8751 | 2007-01-30 |
| 1063566974 | Links Optical Inc | Technician/Technologist | 2411 James St, Bellingham, WA 98225-3835 | 2007-01-22 |
| 1952620486 | Kristy Lynn Hendrickson | Technician/Technologist | 4540 Cordata Pkwy, Suite #103, Bellingham, WA 98226-8059 | 2010-05-24 |
| 1386734374 | Wal-mart Stores, Inc | Technician/Technologist | 4420 Meridian St, Bellingham, WA 98226-8087 | 2006-10-13 |
| 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 |
| 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 |
| 1518325257 | Shannon Chierichetti | Technician/Technologist | 20 Robinson Rd, Port Angeles, WA 98362-7109 | 2016-02-09 |
| Find all providers with the same taxonomy | ||||
| City | BELLINGHAM |
| Zip Code | 98225 |
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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.