JEFFREY B. WORRELL


Address: 1611 E Division St, Mount Vernon, WA 98274-4503
Phone: 3603369559

JEFFREY B. WORRELL (NPI# 1043376171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043376171
Entity Type Individual
Full Name JEFFREY B. WORRELL
Credential OPTICIAN
Practice Address 1611 E Division St
Mount Vernon
WA 98274-4503
Practice Telephone 3603369559
Practice Fax Number 3603369559
Mailing Telephone 3603369559
Mailing Fax Number 3603369559
Enumeration Date 2007-01-01
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 2021368 05

Office Location

Street Address 1611 E DIVISION ST
City MOUNT VERNON
State WA
Zip Code 98274-4503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760533251 Jeffrey B. Worrell/ Esp Optical Eyewear Supplier (Equipment, not the service) 1611 E Division St, Mount Vernon, WA 98274-4503 2007-01-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881123438 Ankur Tarun Sanghvi Peer Specialist 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 2017-06-07
1932647187 Claudia Diaz Counselor 23550 Garden St, Mount Vernon, WA 98274 2017-02-08
1871042002 Richard Simcock Dds, Ps Dentist 130 S 15th St Suite 101, Mount Vernon, WA 98274 2016-09-29
1528228186 Parampreet Singh Ghuman Internal Medicine 121 S. 12th St, Ste B, Mount Vernon, WA 98274 2008-06-16
1699940874 Eugene Villanueva De Guzman Internal Medicine 208 S Hospital Pkwy, Mount Vernon, WA 98274 2008-04-28
1871775122 Matthew John Novak Internal Medicine 208 Hospital Pkwy, Mount Vernon, WA 98274 2007-11-28
1568658797 Emily A K Bianconi Nurse Practitioner 2101 Little Mountain Lane, Mount Vernon, WA 98274 2007-09-21
1659576981 Peggy Randall Counselor 1420 S 12th, Mount Vernon, WA 98274 2007-06-18
1194937037 Cascade Neurologic Clinic, Inc, P.s. Clinic/Center 1315 East Division St., Mt. Vernon, WA 98274 2007-05-04
1427171297 Keri L D Halgren Dentist 1711 E Division Street, Mt Vernon, WA 98274 2007-04-09
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538289137 Joseph A Pietretti Technician/Technologist 171 Gramatan Ave, Mount Vernon, NY 10550-1205 2007-03-29
1831368083 Joseph A Pietretti Technician/Technologist 171 Gramatan Ave, Mount Vernon, NY 10550-1205 2008-02-21
1801977913 Wal-mart Stores, Inc Technician/Technologist 110 Davidson Rd, Mount Vernon, IL 62864-6741 2006-10-17
1699881086 Wal-mart Stores East, Lp Technician/Technologist 1575 Coshocton Ave, Mount Vernon, OH 43050-1476 2006-08-21

Providers in the same taxonomy and state

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
1033772629 Margaret Wilder Burke Technician/Technologist 2718 Patton St, Bellingham, WA 98225-1545 2019-04-18
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
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Competitor

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City MOUNT VERNON
Zip Code 98274

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Dataset Information

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.

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