DR. WILLIAM A PELLOW X (NPI# 1508964180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508964180 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM A PELLOW X |
| Credential | OD |
| Practice Address |
90 N Clark Ave Unit 3 Republic WA 99166-5024 |
| Mailing Address |
Po Box 409 Republic WA 99166-0409 |
| Practice Telephone | 5097753800 |
| Practice Fax Number | 5097753994 |
| Mailing Telephone | 5097753800 |
| Mailing Fax Number | 5097753994 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1669TX | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2001386 | 05 |
| Street Address |
90 N CLARK AVE UNIT 3 |
| City | REPUBLIC |
| State | WA |
| Zip Code | 99166-5024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073976593 | Rachel S Flesher | Doula | 143 N Kauffman St, Republic, WA 99166 | 2016-04-01 |
| 1144534959 | Ferry County Sheriff | Non-emergency Medical Transport (VAN) | 175 North Jefferson, Republic, WA 99166 | 2010-08-04 |
| 1558539734 | Barnaby David Denison | Adult Companion | 42 Klondike Road, Republic, WA 99166 | 2008-02-11 |
| 1205057387 | Robert Walter Hardwick Jr. | Dentist | 194 North Portland St., Republic, WA 99166 | 2007-05-02 |
| 1952438665 | Clara Denise Wisener | Massage Therapist | 720 S Clark Ave, Republic, WA 99166 | 2007-02-28 |
| 1356476477 | Ferry County Emergency Medical Service District 1 | Ambulance | 979 South Clark Ave, 205, Republic, WA 99166 | 2007-02-22 |
| 1457496184 | Ronald L Casebeer | Counselor | 65 North Keller Street, Republic, WA 99166 | 2007-02-20 |
| 1669562047 | Ferry County Counseling Services | Community/Behavioral Health | 147 N. Clark Ave #12, Republic, WA 99166 | 2006-10-13 |
| 1679049258 | Sarah Kw Spark | Counselor | 65 N Keller, Republic, WA 99166 | 2018-10-22 |
| 1952766503 | Angie Tietsort | Massage Therapist | 28 North Keller Street, Republic, WA 99166 | 2015-12-28 |
| Find all providers in zip 99166 | ||||
| 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 |
|---|---|---|---|---|
| 1669491296 | Justin Lee Hart | Optometrist | 612 E Elm St, Republic, MO 65738-1552 | 2006-07-18 |
| 1194237826 | Alexandria Paige Holmes | Optometrist | 612 E Elm St, Republic, MO 65738 | 2017-11-03 |
| 1396854790 | Visionhealth Eye Center | Optometrist | 612 E Elm St, Republic, MO 65738-1552 | 2006-08-30 |
| 1487664843 | Rachelle Lea Hare | Optometrist | 1150 Us Highway 60 E, Republic, MO 65738-1580 | 2006-08-09 |
| 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.