DR. TIMOTHY FRANCIS VRTISKA (NPI# 1033190558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033190558 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY FRANCIS VRTISKA |
| Credential | MD |
| Practice Address |
600 Triangle Ctr Ste 400 Longview WA 98632-4667 |
| Mailing Address |
600 Triangle Ctr Suite 400 Longview WA 98632-4667 |
| Practice Telephone | 3604230220 |
| Practice Fax Number | 3604230697 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2009-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | MD10713 | OR | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | MD00018767 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MEDICARE | 180011766 | 01 |
| WA | 1723402 | 05 |
| Street Address |
600 TRIANGLE CTR STE 400 |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-4667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215918735 | James Ernest Hulbert | Ophthalmology | 600 Triangle Ctr, Ste 400, Longview, WA 98632-4667 | 2005-11-10 |
| 1275859399 | Daniel Gradin | Ophthalmology | 600 Triangle Ctr, Suite 400, Longview, WA 98632-4667 | 2010-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487184867 | Jonathan P. Walgama, Md,pa | Ophthalmology | 3209 4th St Ste 100, Longview, TX 75605-5170 | 2017-06-18 |
| 1548600372 | Dong-wouk Park | Ophthalmology | 600 Triangle Shopping Ctr Ste 400, Longview, WA 98632-4677 | 2013-06-25 |
| 1457587099 | David S. Risner Jr. | Ophthalmology | 2394 H G Mosley Parkway, Longview, TX 75604 | 2009-06-10 |
| 1962656868 | University Professional Services | Ophthalmology | 600 Triangle Ctr., Suite 400, Longview, WA 98632-4667 | 2008-11-05 |
| 1811053630 | Mary Uffelman Andrews | Ophthalmology | 804 Medical Dr, Suite I, Longview, TX 75605-5105 | 2006-12-28 |
| 1639248354 | Lower Columbia Eye Clinic Inc Ps | Ophthalmology | 600 Triangle Center, Suite 400, Longview, WA 98632 | 2006-11-07 |
| 1568547834 | Napoleon Carter | Ophthalmology | 505 N 6th St, Longview, TX 75601-6604 | 2006-10-26 |
| 1851340285 | Craig Kent King | Ophthalmology | 3209 N 4th St, Suite 100, Longview, TX 75605-5145 | 2006-05-10 |
| 1215918735 | James Ernest Hulbert | Ophthalmology | 600 Triangle Ctr, Ste 400, Longview, WA 98632-4667 | 2005-11-10 |
| 1669475620 | Joel Thomas Muirhead | Ophthalmology | 1205 N 6th St, Longview, TX 75601-5539 | 2005-05-24 |
| Find all providers in LONGVIEW | ||||
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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.