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NORTHWEST EYE CLINIC INC. P.S. NPI 1992880553


NPI Information

NPI: 1992880553
Provider Name: NORTHWEST EYE CLINIC INC., P.S.

Doing Business As: NORTHWEST EYE CLINIC OPTICAL SHOP

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 50D2126042

Address:
3015 SQUALICUM PKWY
SUITE 270
BELLINGHAM, WA
ZIP 98225
Phone: (360) 733-4800
Get Directions

NORTHWEST EYE CLINIC INC., P.S. is an eyewear supplier in Bellingham, WA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. NORTHWEST EYE CLINIC INC., P.S. NPI is 1992880553. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Eye Clinic Optical Shop.

The provider's business location address is:

3015 SQUALICUM PKWY
SUITE 270
BELLINGHAM, WA
ZIP 98225-945
Phone: (360) 733-4800
Fax: (360) 733-2879

The provider's authorized official is Vincent Eriberto Matteucci .
The authorized official title is Physician and has the following contact phone number (360) 733-4800.

The CLIA number assigned to this NPI record is 50D2126042 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 2/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12019032MEDICAIDWASHINGTON
2G10215MEDICARE UPINWASHINGTON
30622710001MEDICARE NSCWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.