TWIN RIVER VISION, INC. (NPI# 1154657955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154657955 |
| Entity Type | Organization |
| Organization Name | TWIN RIVER VISION, INC. |
| Practice Address |
306 5th Street Clarkston WA 99403 |
| Mailing Address |
Po Box 375 306 5th Street Clarkston WA 99403-0375 |
| Practice Telephone | 5097589470 |
| Practice Fax Number | 5097589478 |
| Mailing Telephone | 5097589470 |
| Mailing Fax Number | 5097589478 |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2010-10-30 |
| Authorized Official Name | DR. MARK D PYLE (PRESIDENT/OPTOMETRIST) |
| Authorized Official Telephone | 5097589470 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD60110615 | WA | Eye and Vision Services Providers |
| Street Address |
306 5TH STREET |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| 1750405767 | Jennifer Altmiller Kaufman | Nurse Practitioner | 302 5th St, Ste 3, Clarkston, WA 99403 | 2007-03-16 |
| Find all providers in zip 99403 | ||||
| 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 |
|---|---|---|---|---|
| 1780711564 | Darren Smarch | Optometrist | 20 W. Washington, Suite 7, Clarkston, MI 48346 | 2007-02-27 |
| 1033262308 | Barbara Theresa Figel-legowski | Optometrist | 7196 N Main St, Clarkston, MI 48346-1571 | 2007-01-19 |
| 1710053152 | Jill R Schnurer | Optometrist | 3 E Washington St, Clarkston, MI 48346-1549 | 2006-11-28 |
| 1801806856 | Todd Edward Staniszewski | Optometrist | 7117 Dixie Hwy, Clarkston, MI 48346-2077 | 2006-08-09 |
| 1952357147 | Ann Marie Spadafora | Optometrist | 6445 Citation Dr Ste B, Clarkston, MI 48346-2996 | 2006-05-26 |
| 1629047360 | Dean Hattan Od | Optometrist | 301 5th St, Clarkston, WA 99403-1860 | 2006-03-15 |
| 1134191166 | Michael C. Zak | Optometrist | 6445 Citation Dr, Suite B, Clarkston, MI 48346-2996 | 2006-02-03 |
| 1639163389 | Wesley Richard Herbert | Optometrist | 617 Diagonal St, Clarkston, WA 99403-2041 | 2005-09-08 |
| 1568710200 | Martin Merriel Harris | Optometrist | 306 5th St, Clarkston, WA 99403-1860 | 2012-08-28 |
| 1447535539 | Michael C. Zak, O.d., Pllc | Optometrist | 6445 Citation Dr, Suite B, Clarkston, MI 48346-2996 | 2011-10-20 |
| Find all providers in CLARKSTON | ||||
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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.