SPOKANE OPTICAL COMPANY LLC (NPI# 1972851020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972851020 |
| Entity Type | Organization |
| Organization Name | SPOKANE OPTICAL COMPANY LLC |
| Other Organization Name | SPOKANE OPTICAL COMPANY |
| Practice Address |
16201 E Indiana Ave 5000 Spokane Valley WA 99216-2830 |
| Practice Telephone | 5099247271 |
| Practice Fax Number | 5099287802 |
| Mailing Telephone | 5099247271 |
| Mailing Fax Number | 5099287802 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2015-01-20 |
| Authorized Official Name | RANDALL K JACOBSON (PHYSICIAN) |
| Authorized Official Telephone | 5094560107 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 602617024 | WA | Suppliers |
| Other Name | Type Code |
|---|---|
| Spokane Optical Company | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386992717 | Spokane Optical Company LLC | Eyewear Supplier (Equipment, not the service) | 9651 N Nevada St, Spokane, WA 99218 | 2012-08-15 |
| 1922006758 | Spokane Optical Company LLC | Eyewear Supplier (Equipment, not the service) | 427 S Bernard St, Spokane, WA 99204-2509 | 2005-07-14 |
| Street Address |
16201 E INDIANA AVE 5000 |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99216-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376637421 | Tracy A Berg | Surgery | 16201 E Indiana Ave, Ste 3100, Spokane Valley, WA 99216-2830 | 2006-10-03 |
| 1578093407 | Taylor G Hanson | Massage Therapist | 16201 E Indiana Ave, Spokane Valley, WA 99216-2830 | 2017-06-13 |
| 1417490392 | Angelos Investments, LLC | Clinic/Center | 16201 E Indiana Ave, #3260, Spokane Valley, WA 99216-2830 | 2016-11-28 |
| 1891145280 | New Leaf Hyperbarics of Spokane Valley | Clinic/Center | 16201 E Indiana Ave, 3260, Spokane Valley, WA 99216-2830 | 2016-06-15 |
| 1053701334 | Premier Psychiatric Services, Pllc | Psychiatry & Neurology | 16201 E Indiana Ave, Suite 5300, Spokane Valley, WA 99216-2830 | 2015-01-26 |
| 1043410194 | Northwest Health Summit, Ps | Physician Assistant | 16201 E Indiana Ave, Suite 5300, Spokane Valley, WA 99216-2830 | 2007-07-18 |
| 1699980367 | Mark Andrew Hiesterman | Surgery | 16201 E Indiana Ave, Suite 3100, Spokane Valley, WA 99216-2830 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1770858789 | Encore Vision, Inc | Eyewear Supplier (Equipment, not the service) | 15735 E Broadway Ave Ste 3c2, Spokane Valley, WA 99037-8547 | 2012-03-09 |
| 1245321926 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 14720 E Indiana St, Spokane Valley Mall, Spokane Valley, WA 99216-1814 | 2006-09-27 |
| 1831280031 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14700 E Indiana Ave Spc 1008, Spokane Valley, WA 99216 | 2006-09-27 |
| 1104217462 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 5601 E Sprague Ave, Spokane Valley, WA 99212-0826 | 2015-02-09 |
| 1306194394 | Robert Maher Md Robert Davis Md Et Al | Eyewear Supplier (Equipment, not the service) | 12525 E Mission Ave, Spokane Valley, WA 99216-1063 | 2012-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004477 | The Vancouver Clinic Inc Ps | Eyewear Supplier (Equipment, not the service) | 2 S 56th Pl Ste 205, Ridgefield, WA 98642-3427 | 2020-05-15 |
| 1619514825 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 11111 Ne 8th St Ste 147, Bellevue, WA 98004-4489 | 2019-12-06 |
| 1790341675 | Zachary Robert Cooper | Eyewear Supplier (Equipment, not the service) | 301 Queen Anne Ave N # 506, Seattle, WA 98109-4513 | 2019-05-15 |
| 1235795626 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1052 Springwater Ave, Wenatchee, WA 98801-1546 | 2019-05-12 |
| 1154987535 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9326 N Division St, Spokane, WA 99218-1227 | 2019-05-11 |
| 1699331074 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2529 Main St Ste P6-a, Union Gap, WA 98903-1690 | 2019-05-11 |
| 1437648508 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 4502 S Steele St Ste 700, Tacoma, WA 98409-7224 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1457860702 | Visionpros Usa Inc | Eyewear Supplier (Equipment, not the service) | 1750 Grant Ave, Blaine, WA 98230-5155 | 2017-09-28 |
| 1982121075 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 3501 Fremont Ave N, Seattle, WA 98103-8813 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99216 |
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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.