JAMES PHELAN (NPI# 1124653464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124653464 |
| Entity Type | Individual |
| Full Name | JAMES PHELAN |
| Credential | OD |
| Practice Address |
14 N. Vernon Ave. Deer Park WA 99006 |
| Mailing Address |
Po Box 1329 Deer Park WA 99006-1329 |
| Practice Telephone | 5092760026 |
| Mailing Telephone | 5092760026 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 61023496 | WA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639649619 | James Joseph Phelan | Social Worker | 77 Mulberry St, Leicester, MA 01524-1011 | 2018-12-03 |
| 1194805457 | James Terence Phelan | Podiatrist | 587 Highway 51 Ste T2, Ridgeland, MS 39157-2506 | 2006-10-17 |
| 1700974979 | James T Phelan | Dentist | 1225 Breckenridge Dr Ste 101, Little Rock, AR 72205-1565 | 2006-10-11 |
| 1598736290 | James Richard Phelan | Otolaryngology | 1290 Hercules Ave, Wyle Laboratories, Houston, TX 77058-2749 | 2006-01-30 |
| 1255313656 | James Michael Phelan | Dentist | 3 Howarth Ave, South Attleboro, MA 02703-5926 | 2005-11-19 |
| 1447757372 | James Patrick Phelan | Social Worker | 2450 W Ridge Rd, Rochester, NY 14626-3037 | 2018-04-08 |
| 1427407279 | James Phelan | Counselor | 10735 S Cicero Ave, Suite 208, Oak Lawn, IL 60453-5400 | 2016-06-11 |
| 1760643589 | James Gordon Phelan | Audiologist-Hearing Aid Fitter | 2261 North St, Beaumont, TX 77701-1552 | 2008-06-24 |
| 1093871832 | James Edward Phelan | Dentist | 1105 Lakeview Ave, Dracut, MA 01825-4762 | 2006-12-28 |
| 1841206950 | James Edward Phelan Jr. | Social Worker | 543 Taylor Ave, Columbus, OH 43203-1278 | 2006-07-31 |
| Street Address |
14 N. VERNON AVE. |
| City | DEER PARK |
| State | WA |
| Zip Code | 99006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572892 | Deer Park Dental Pllc | Dentist | 118 E. Crawford St., Deer Park, WA 99006 | 2020-06-11 |
| 1336628841 | Shayla Michelle Simonson | Massage Therapist | West 114 South Avenue, Apt 4, Deer Park, WA 99006 | 2018-08-07 |
| 1710221494 | Lori Tetsuro Mcdonald | Hearing Instrument Specialist | 23 E Crawford St, Suite D, Deer Park, WA 99006 | 2012-11-19 |
| 1952675076 | Debra Kay Keller | Pharmacist | 412 S Main, Deer Park, WA 99006 | 2012-03-07 |
| 1457661027 | Martha Joan Haney | Massage Therapist | W 110 Crawford, Suite J, Deer Park, WA 99006 | 2010-10-18 |
| 1487818324 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 412 S. Main Avenue, Deer Park, WA 99006 | 2008-07-10 |
| 1912104498 | Melissa Ann Mccollough | Massage Therapist | 20 East J Street Suite B, Deer Park, WA 99006 | 2007-06-28 |
| 1336368182 | Community Health Association of Spokane | Clinic/Center | 401 S Main Street, Deer Park, WA 99006 | 2007-04-24 |
| 1215153739 | Bates and Miller, Pllc, Dds | Clinic/Center | 20 E J Street, Suite 2b, Deer Park, WA 99006 | 2007-04-17 |
| 1184741936 | Ronald J Moore | Chiropractor | 206 W First Street, Suite G, Deer Park, WA 99006 | 2007-03-26 |
| Find all providers in zip 99006 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386101632 | Optical Shop of Deer Park Inc | Optometrist | 415 Commack Rd Ste 2b, Deer Park, NY 11729-4508 | 2019-02-22 |
| 1043353386 | Michelle Eva Lamb | Optometrist | 310 W San Augustine St, Deer Park, TX 77536-4028 | 2007-02-15 |
| 1699765321 | Steven Schiff | Optometrist | 1806 Deer Park Ave, Deer Park, NY 11729-4301 | 2005-10-25 |
| 1356345078 | Jeremy Kyle Marcuson | Optometrist | 26 W. H St., Stuite A, Deer Park, WA 99006 | 2005-06-10 |
| 1104829464 | Jerrad Scott Mills | Optometrist | 2009 Center St, Deer Park, TX 77536-4161 | 2005-05-31 |
| 1972160976 | Nathan James Biancardi | Optometrist | 26 W H St, Deer Park, WA 99006-7167 | 2019-05-24 |
| 1841783057 | Jvision Care Pllc | Optometrist | 310 W San Augustine St, Deer Park, TX 77536-4028 | 2018-06-12 |
| 1144736406 | Cvs Aoc Services, L.L.C. | Optometrist | 1944 Deer Park Ave, Deer Park, NY 11729-3327 | 2017-12-22 |
| 1326227075 | Steven Schiff Optometrist LLC | Optometrist | 1806 Deer Park Ave, Deer Park, NY 11729-4301 | 2007-10-30 |
| 1851416432 | Jerrad Scott Mills | Optometrist | 2009 Center St, Deer Park, TX 77536-4161 | 2007-03-20 |
| Find all providers in DEER PARK | ||||
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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.