MARYSVILLE VISION SOURCE PC
NPI 1154875219
Optometrist in Marysville, WA

Active since August 06, 2016
1098 ALDER AVE, MARYSVILLE, WA 98270(360) 659-6255(360) 653-2466 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marysville Vision Source Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYSVILLE VISION SOURCE PC (NPI 1154875219) is a healthcare organization registered as an optometrist in Marysville, Washington and active in the NPI registry since August 2016. The organization lists Jessie Li-wei Liu, Optometric Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1154875219
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMARYSVILLE VISION SOURCE PC
Location Address1098 ALDER AVEMarysville, WA 98270-4318
Mailing Address1098 Alder AveMarysville, WA 98270-4318 · (360) 659-6255 · Fax (360) 653-2466
Fax(360) 653-2466
Organization SubpartNo
Authorized OfficialJessie Li-wei LiuOptometric Physician/owner · (360) 659-6255
Enumeration DateAugust 6, 2016
Last NPPES UpdateOctober 19, 2016
NPI 1154875219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WA · OD60304885
Definition
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.
1098 ALDER AVE, Marysville, WA 98270

Other Identifiers 1

Medicare PING8913135WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1098 ALDER AVE
MARYSVILLE, WA 98270
Optometrist
1098 ALDER AVE
MARYSVILLE, WA 98270
Optometrist
1098 ALDER AVE
MARYSVILLE, WA 98270
Optometrist
1098 ALDER AVE
MARYSVILLE, WA 98270
Optometrist
1098 ALDER AVE
MARYSVILLE, WA 98270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marysville Vision Source PC's NPI number?

The NPI number for Marysville Vision Source PC is 1154875219. It was assigned to this organization in the NPPES registry on August 6, 2016.

Where is Marysville Vision Source PC located?

Marysville Vision Source PC is located at 1098 Alder Ave, Marysville, WA 98270. The listed phone number is (360) 659-6255.

What is Marysville Vision Source PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Marysville Vision Source PC was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.