Individual provider Active NPI

Tony D. Pool, O.D.

  • Optometrist
  • Edmonds, WA
National Provider Identifier
1003804014
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1877TX Issued in WA
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

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1877TXWAMDOptometrist

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.