WATERBURY VISION CLINIC LLC
NPI 1720478514
Optometrist in Tacoma, WA

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: July 19, 2026.

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
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

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


The following 7 providers are registered at the same or a nearby location.

Pharmacist
4505 S 19TH ST
TACOMA, WA 98405
Pharmacist
4505 S 19TH ST
TACOMA, WA 98405
Pharmacist
4505 S 19TH ST
TACOMA, WA 98405
Pharmacist
4505 S 19TH ST
TACOMA, WA 98405
Eyewear Supplier
4505 S 19TH ST, SUITE 3
TACOMA, WA 98405
Pharmacist
4505 S 19TH ST
TACOMA, WA 98405
Pharmacy (Community/Retail Pharmacy)
4505 S 19TH ST
TACOMA, WA 98405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720478514, enumerated as an "organization" on January 31, 2015.

The provider is located at 4505 S 19TH ST TACOMA, WA 98405 and the phone number is (253) 752-3961.

Optometrist with taxonomy code 152W00000X.