OLYMPIA EYE CLINIC PLLC – NPI #1194771576
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

OLYMPIA EYE CLINIC PLLC is an AHC clinic located in OLYMPIA, WA. NPPES has assigned the NPI number 1194771576 to OLYMPIA EYE CLINIC PLLC on May 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 6 years ago on Feb 08, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OLYMPIA EYE CLINIC PLLC below.

NPI Profile for
OLYMPIA EYE CLINIC PLLC

NPI Number
1194771576
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OLYMPIA EYE CLINIC PLLC
Primary location
215 LILLY RD NE
OLYMPIA, WA 98506-5030
Phone: (360) 456-4800 Fax: (360) 456-4812
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RODGER BODOIA
PRESIDENT
Phone: (360) 456-4800
Updated
Certification Date
Feb 08, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
207W00000X
- Ophthalmology
152W00000X
- Optometrist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.