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LARRY L. BEACH O. D. P. S. NPI 1578621512


NPI Information

NPI: 1578621512
Provider Name: LARRY L. BEACH, O. D. P. S.

Doing Business As: CASCADE VISION CENTER

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 50D2130587

Address:
3915 TALBOT RD S STE 209
RENTON, WA
ZIP 98055
Phone: (425) 235-9911
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LARRY L. BEACH, O. D. P. S. is an optometrist in Renton, WA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. LARRY L. BEACH, O. D. P. S. NPI is 1578621512. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cascade Vision Center.

The provider's business location address is:

3915 TALBOT RD S STE 209
RENTON, WA
ZIP 98055-738
Phone: (425) 235-9911
Fax: (425) 254-8807

The provider's authorized official is Laurie D. Beach .
The authorized official title is Office Manager and has the following contact phone number (425) 235-9911.

The CLIA number assigned to this NPI record is 50D2130587 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 7/30/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristOD00001150WASHINGTONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AB23261MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONMEDICARE GROUP NUMBER
22024388MEDICAIDWASHINGTON

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: 5/5/2024

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