LEWIS COUNTY VISION SOURCE PC (NPI# 1356710933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356710933 |
| Entity Type | Organization |
| Organization Name | LEWIS COUNTY VISION SOURCE PC |
| Other Organization Name | DR. KELLY PADGETT |
| Practice Address |
1805 Cooks Hill Rd Centralia WA 98531-9072 |
| Practice Telephone | 3607364447 |
| Practice Fax Number | 3608070324 |
| Mailing Telephone | 3607364447 |
| Mailing Fax Number | 3608070324 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-12-23 |
| Authorized Official Name | KELLY MICHELE PADGETT (OWNER) |
| Authorized Official Telephone | 3607364447 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 60236154 | WA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Dr. Kelly Padgett | Doing Business As Name - Organization |
| Street Address |
1805 COOKS HILL RD |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-9072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396838512 | Halls Drug Center Inc | Pharmacy | 1805 Cooks Hill Rd, Centralia, WA 98531-9072 | 2006-10-02 |
| 1487933610 | Kelly Michele Padgett | Optometrist | 1805 Cooks Hill Rd, Centralia, WA 98531-9072 | 2011-08-05 |
| 1679639033 | Larry Brice Kelley | Optometrist | 1805 Cooks Hill Rd, Centralia, WA 98531-9072 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| 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 |
|---|---|---|---|---|
| 1629117023 | Joseph L. Dolezal | Optometrist | 1125 Mellen St, Centralia, WA 98531-1173 | 2007-02-05 |
| 1649332727 | Curtis Dean Burghart | Optometrist | 1203 S Gold St, Centralia, WA 98531-3715 | 2006-12-14 |
| 1558302240 | Robin Lee Johnson | Optometrist | 418 S Poplar, Suite 5, Centralia, IL 62801 | 2006-06-10 |
| 1720066699 | David Joe Luke | Optometrist | 121 N Allen St, Centralia, MO 65240-1301 | 2006-01-02 |
| 1235134982 | Kathleen M Rivera - Kunz | Optometrist | 408 W 2nd St, Centralia, IL 62801-3402 | 2005-06-18 |
| 1295167732 | Amy Lee Ritzheimer | Optometrist | 899 E Mccord St, Centralia, IL 62801-3003 | 2013-08-07 |
| 1487933610 | Kelly Michele Padgett | Optometrist | 1805 Cooks Hill Rd, Centralia, WA 98531-9072 | 2011-08-05 |
| 1417193913 | Innovations In Eyecare Inc. | Optometrist | 1125 Mellen St, Centralia, WA 98531-1173 | 2009-01-05 |
| 1518102300 | Dr Mark C Hurst Optometrist Ltd | Optometrist | 208 E 3rd St, Centralia, IL 62801-3902 | 2008-12-08 |
| 1013194281 | Curtis D. Burghart, Od, Ps | Optometrist | 1203 S Gold St, Centralia, WA 98531-3715 | 2008-01-29 |
| Find all providers in CENTRALIA | ||||
Please comment or provide details below to improve the information on LEWIS COUNTY VISION SOURCE PC.
| 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.