KENTON SCOTT MCDOUGALL (NPI# 1245340116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245340116 |
| Entity Type | Individual |
| Full Name | KENTON SCOTT MCDOUGALL |
| Credential | O.D. |
| Practice Address |
298 S Main St Suite 301 Colville WA 99114-2447 |
| Practice Telephone | 5096842221 |
| Practice Fax Number | 5096846222 |
| Mailing Telephone | 5096842221 |
| Mailing Fax Number | 5096846222 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD00001246 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2030500 | 05 | |
| WA | LABOR AND INDUSTRIES | 0022969 | 01 |
| Street Address |
298 S MAIN ST SUITE 301 |
| City | COLVILLE |
| State | WA |
| Zip Code | 99114-2447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649671504 | Jo Nell Amburgey | Social Worker | 298 S Main St, Suite L3, Colville, WA 99114-2447 | 2014-09-10 |
| 1568863470 | Jo Nell R Amburgey, Msw, Licsw | Community/Behavioral Health | 298 S Main St, Suite L3, Colville, WA 99114-2447 | 2014-09-10 |
| 1871840835 | Colville Valley Eyecare, Pllc | Optometrist | 298 S Main St, Suite 301, Colville, WA 99114-2447 | 2012-08-09 |
| 1104159284 | Jonathan Wilson Harper | Optometrist | 298 S Main St, Suite 301, Colville, WA 99114-2447 | 2009-09-08 |
| 1578768719 | Julie Kay Clough Thompson | Massage Therapist | 298 S Main St, Suite 201, Colville, WA 99114-2447 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033774799 | Salamia Mikheyeva | Massage Therapist | 697 Gillette Rd., Colville, WA 99114 | 2019-05-07 |
| 1053897694 | Rochelle Diconti | Counselor | 358 E Birch Ave Ste 101, Colville, WA 99114 | 2018-07-17 |
| 1679073928 | Laurel Shull | Massage Therapist | 298 S. Main St., Suite 208, Colville, WA 99114 | 2018-02-13 |
| 1235638123 | Taylor Vanwicklen | Nurse's Aide | 165 E. Hawthorne Ave, Colville, WA 99114 | 2018-02-06 |
| 1932608833 | Sandra Ingram | Registered Nurse | 165 E. Hawthorne Avenue, Colville, WA 99114 | 2018-02-06 |
| 1831451350 | Catherine M Lochner | Occupational Therapist | 1366 Onion Creek Rd., Colville, WA 99114 | 2012-06-11 |
| 1245552215 | Georgia Rae Goot | Hearing Instrument Specialist | 519 S. Main St., Colville, WA 99114 | 2010-02-18 |
| 1801018619 | David W King | Counselor | 165 E Hawthorne Avenue, Colville, WA 99114 | 2007-05-02 |
| 1497976484 | Jack Darrell Esvelt | Dentist | 181 E 1st, Colville, WA 99114 | 2007-05-01 |
| 1730229709 | Carol H Leach | Registered Nurse | 982 E Columbia Ave Ste 201, Colville, WA 99114 | 2007-02-07 |
| Find all providers in zip 99114 | ||||
| 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 |
|---|---|---|---|---|
| 1831328939 | Catherine C. Pardini | Optometrist | 810 N Highway, Colville, WA 99114-2028 | 2009-07-09 |
| 1679612766 | H Theresa Porter | Optometrist | 693 Hallerwood Way, Colville, WA 99114 | 2007-02-05 |
| 1053308007 | Cheryl M Fenno | Optometrist | 102 S Oak St, Colville, WA 99114-2846 | 2005-10-04 |
| 1871840835 | Colville Valley Eyecare, Pllc | Optometrist | 298 S Main St, Suite 301, Colville, WA 99114-2447 | 2012-08-09 |
| 1104159284 | Jonathan Wilson Harper | Optometrist | 298 S Main St, Suite 301, Colville, WA 99114-2447 | 2009-09-08 |
| 1154463669 | Fenno Eye Clinics Inc., P.s. | Optometrist | 102 S Oak St, Colville, WA 99114-2846 | 2007-02-12 |
| 1366439242 | Michael Gregory Fenno | Optometrist | 102 S Oak St, Colville, WA 99114-2846 | 2005-10-05 |
| 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.