Healthcare Provider Details

I. General information

NPI: 1417032590
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: 01/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 YELM AVE W
YELM WA
98597-8652
US

IV. Provider business mailing address

PO BOX 2990
YELM WA
98597-2990
US

V. Phone/Fax

Practice location:
  • Phone: 360-458-2088
  • Fax: 360-458-5872
Mailing address:
  • Phone: 360-458-2088
  • Fax: 360-458-5872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric 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: 360-458-2088