OrganizationActive
Waterbury Vision Clinic LLC
NPI 1720478514 · Optometrist · Tacoma, WA
Waterbury Vision Clinic LLC is a Optometrist organization in Tacoma, WA (NPI 1720478514).
Provider details
- NPI number
- 1720478514
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tara Waterbury, Member(253) 617-8514
- License
- 4020 (WA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4505 S 19th St
Tacoma, WA 98405-1183
Phone: (253) 752-3961
Street-level locationGet directions
Mailing address
4505 S 19th St
Tacoma, WA 98405-1183
Registry dates
- Enumerated
- 2015-01-31
- Last updated
- 2015-01-31
Frequently asked questions
- What is Waterbury Vision Clinic LLC's NPI number?
- Waterbury Vision Clinic LLC's National Provider Identifier (NPI) is 1720478514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterbury Vision Clinic LLC?
- Waterbury Vision Clinic LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Waterbury Vision Clinic LLC located?
- Waterbury Vision Clinic LLC's practice location on file with NPPES is 4505 S 19th St, Tacoma, WA 98405-1183.
- What is Waterbury Vision Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Waterbury Vision Clinic LLC is (253) 752-3961.
- Who is the authorized official for Waterbury Vision Clinic LLC?
- The authorized official listed on Waterbury Vision Clinic LLC's NPPES record is Tara Waterbury, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterbury Vision Clinic LLC's NPI active?
- Yes — Waterbury Vision Clinic LLC's NPI (1720478514) is active in the NPPES registry as of the last update on 2015-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.