Active NPI
Tony D. Pool, O.D.
- Optometrist
- Edmonds, WA
National Provider Identifier
1003804014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1877TX
- Practice address
- 543 Main St
Suite C
Edmonds, WA 98020-3162 - Phone
- (425) 670-8458
- Fax
- (425) 740-0991
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1877TX | WA | Primary |
Addresses
Primary practice location
543 Main St
Suite C
Edmonds, WA 98020-3162
Mailing address
8502 Main St
Unit E-102
Edmonds, WA 98026-6971
Phone (425) 670-8458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040122000935 | WA | Practitioner - Optometry | 7214835800 | Practice locations: Edmonds, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
543 Main St
Suite C
Edmonds, WA 98020-3162
Phone (425) 670-8458
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1877TX | WA | MD | Optometrist |
Interoperability endpoints
- tpool@tpool2020.officeally.direct
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003804014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8502 MAIN ST",
"address_2": "UNIT E-102",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980266971",
"telephone_number": "425-670-8458",
"fax_number": "425-740-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 MAIN ST",
"address_2": "SUITE C",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980203162",
"telephone_number": "425-670-8458",
"fax_number": "425-740-0991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOL",
"first_name": "TONY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "1877TX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.