WATERBURY VISION CLINIC LLC
NPI 1720478514
Optometrist in Tacoma, WA

Q: What is Waterbury Vision Clinic LLC's NPI number?

The NPI number for Waterbury Vision Clinic LLC is 1720478514. It was assigned to this organization in the NPPES registry on January 31, 2015.

Q: What is Waterbury Vision Clinic LLC's specialty?

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

Active since January 31, 2015

4505 S 19TH ST, TACOMA, WA 98405(253) 752-3961 Get Directions Write a Review

NPPES record last updated: January 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Waterbury Vision Clinic Llc NPPES

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

WATERBURY VISION CLINIC LLC (NPI 1720478514) is a healthcare organization registered as an optometrist in Tacoma, Washington and active in the NPI registry since January 2015. The organization lists Tara Waterbury, Member, as its authorized official.

NPPES Registry Identity

NPI1720478514

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameWATERBURY VISION CLINIC LLC

Location Address4505 S 19TH STTacoma, WA 98405-1183

Mailing Address4505 S 19th StTacoma, WA 98405-1183 · (253) 752-3961

Phone(253) 752-3961

Organization SubpartNo

Authorized OfficialTara WaterburyMember · (253) 617-8514

Enumeration DateJanuary 31, 2015

✔ NPI 1720478514 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 · 4020

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.

4505 S 19TH ST, Tacoma, WA 98405

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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 7

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

ROMEO DO

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

4505 S 19TH ST
TACOMA, WA 98405

Pierce County (253) 756-9322

AHMED SHOKRI MOHAMED DARWISH R.PH

Pharmacist

4505 S 19TH ST
TACOMA, WA 98405

Pierce County (253) 756-9280

AMRO ABU HALLAWAH

Pharmacist

4505 S 19TH ST
TACOMA, WA 98405

Pierce County (253) 756-9322

DR. JOHN RYAN KUBOTA PHARM.D.

Pharmacist

4505 S 19TH ST
TACOMA, WA 98405

Pierce County (253) 756-9280

NATIONAL VISION, INC.

Eyewear Supplier

4505 S 19TH ST, SUITE 3
TACOMA, WA 98405

Pierce County (253) 752-4396

FRED MEYER STORES INC

Pharmacy (Community/Retail Pharmacy)

4505 S 19TH ST
TACOMA, WA 98405

Pierce County (253) 752-9110

JOHN BURNHAM OSBORN R.PH.

Pharmacist

4505 S 19TH ST
TACOMA, WA 98405

Pierce County (253) 752-9110

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 Waterbury Vision Clinic LLC's NPI number?

The NPI number for Waterbury Vision Clinic LLC is 1720478514. It was assigned to this organization in the NPPES registry on January 31, 2015.

Where is Waterbury Vision Clinic LLC located?

Waterbury Vision Clinic LLC is located at 4505 S 19th St, Tacoma, WA 98405. The listed phone number is (253) 752-3961.

What is Waterbury Vision Clinic LLC'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 Waterbury Vision Clinic LLC was last updated on January 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.