JONATHAN WAYNE MCMULLIN (NPI# 1205391745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205391745 |
| Entity Type | Individual |
| Full Name | JONATHAN WAYNE MCMULLIN |
| Other Name | JON MCMULLIN |
| Credential | OD |
| Practice Address |
2310 Longfibre Ave Union Gap WA 98903-1513 |
| Mailing Address |
2310 Longfibre Rd Union Gap WA 98903-1513 |
| Practice Telephone | 5094545253 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD60921199 | WA | Eye and Vision Services Providers |
| Street Address |
2310 LONGFIBRE AVE |
| City | UNION GAP |
| State | WA |
| Zip Code | 98903-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144330788 | Costco Wholesale Corporation | Pharmacy | 2310 Longfibre Ave, Union Gap, WA 98903 | 2006-08-30 |
| 1255725875 | Costco Wholesale Corporation | Hearing Aid Equipment | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2015-03-20 |
| 1518358878 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2015-02-09 |
| 1831594902 | Stephen Ezra Robertson | Pharmacist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2014-10-30 |
| 1063755676 | Ryan Coyle Od Ps | Optometrist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2013-04-02 |
| 1215294178 | Doug Ricks and Associates | Optometrist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2012-04-17 |
| 1578871265 | Douglas Robert Ricks | Optometrist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2010-09-16 |
| 1932344868 | Benjamin Christopher Winters | Optometrist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2008-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504277 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 2405 West Washinton Ave, Yakima, WA 98903 | 2020-09-29 |
| 1538704325 | Maria D. Valenzuela | Technician | 3908 1st St, Union Gap, WA 98903 | 2019-11-15 |
| 1730667668 | Patty Nygaard | Counselor | 4109 Holiday Ave, Union Gap, WA 98903 | 2018-08-02 |
| 1760994842 | Sonia Perez | Registered Nurse | 2000 S. 18th St., Union Gap, WA 98903 | 2017-10-30 |
| 1437502820 | Ismerai Benitez | Counselor | 918 E. Mead Ave., Yakima, WA 98903 | 2016-07-20 |
| 1568857845 | Rebecca Marie Berghoff | Registered Nurse | 55 West Washington Avenue, Unit #54, Yakima, WA 98903 | 2015-04-02 |
| 1811249519 | Steven G Schiewe | Pharmacist | 2310 Longfibre Rd, Union Gap, WA 98903 | 2012-10-05 |
| 1891070850 | Rick Kenneth Melcher | Pharmacist | 2310 Longfibre Road, Union Gap, WA 98903 | 2011-10-20 |
| 1386882678 | Emily Mcphee | Counselor | 910 E Mead Ave, Yakima, WA 98903 | 2009-01-26 |
| 1427185826 | Ronald Spencer Senn | Dentist | 2100 14th St, Union Gap, WA 98903 | 2007-02-27 |
| Find all providers in zip 98903 | ||||
| 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 |
|---|---|---|---|---|
| 1669629457 | Shirley S. Tran | Optometrist | 2529 Main St, Space D1, Union Gap, WA 98903-1690 | 2008-08-22 |
| 1396797486 | Shopko Stores Operating Co. LLC | Optometrist | 2530 Rudkin Rd, Union Gap, WA 98903-1632 | 2006-05-17 |
| 1063755676 | Ryan Coyle Od Ps | Optometrist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2013-04-02 |
| 1215294178 | Doug Ricks and Associates | Optometrist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2012-04-17 |
| 1578871265 | Douglas Robert Ricks | Optometrist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2010-09-16 |
| 1932344868 | Benjamin Christopher Winters | Optometrist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2008-12-05 |
| 1093927261 | Robert John Hunziker | Optometrist | 1400 E Washington Ave, Union Gap, WA 98903 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544101 | Destiny Nicole Mccoy | Optometrist | 19400 108th Ave Se Ste 202, Kent, WA 98031-0108 | 2020-09-25 |
| 1598370371 | Optometry Medical Group Inc | Optometrist | 1721 22nd Ave, Seattle, WA 98122-3324 | 2020-09-09 |
| 1962011320 | Kristine Marie Hackett | Optometrist | 19301 Se 34th St Ste 104, Camas, WA 98607-8881 | 2020-07-30 |
| 1245857044 | Minha Lee | Optometrist | 1468 158th Pl Ne, Bellevue, WA 98008-2782 | 2020-06-29 |
| 1437774734 | Vision Plus of Barkley Pllc | Optometrist | 2900 Woburn St Ste 101, Bellingham, WA 98226-3865 | 2020-06-11 |
| 1558985671 | Tiffany Lundberg | Optometrist | 2010 W Lincoln Ave Ste 1, Yakima, WA 98902-2413 | 2020-06-04 |
| 1801423041 | Jayeon Vision | Optometrist | 13909 Meridian E Ste A3, Puyallup, WA 98373-9180 | 2020-03-26 |
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1942832845 | Trinity Vision Pllc | Optometrist | 4750 N Division St Ste 282, Spokane, WA 99207-1433 | 2020-02-07 |
| 1104464536 | Washington Eyes, LLC | Optometrist | 5011 W Lowell Ave Ste 120, Spokane, WA 99208-8587 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
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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.