Healthcare Provider Details

I. General information

NPI: 1033294103
Provider Name (Legal Business Name): VISION CARE ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 12/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8204 27TH ST W
UNIVERSITY PLACE WA
98466-2719
US

IV. Provider business mailing address

8204 27TH ST W
UNIVERSITY PLACE WA
98466-2719
US

V. Phone/Fax

Practice location:
  • Phone: 253-564-9262
  • Fax: 253-564-0996
Mailing address:
  • Phone: 253-564-9262
  • Fax: 253-564-0996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID HAYS
Title or Position: OWNER
Credential: OD
Phone: 253-564-9262