Olympic Peaks Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

0025209MD00031837 Issued in WA

Legal business name

OLYMPIC PEAKS OPTICAL

Practice address

2655 Wheaton Way
Bremerton, WA 98310

Phone

(360) 377-0097

Fax

(360) 377-9469

NPI assigned

May 14, 2007

Last updated

Dec 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dale Norman Holdren, MD

Title

Owner

Phone

(360) 377-3703

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenton Scott Sorensen, MD

  • Ophthalmology Physician
  • Bremerton, WA
  • NPI 1467531459
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1033324942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-377-0097",
            "fax_number": "360-377-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-377-0097",
            "fax_number": "360-377-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC PEAKS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "HOLDREN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-377-3703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "0025209MD00031837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olympic Anesthesia Services, Inc
• Olympic Esd114
• Olympic Internal Medicine Associates, P.L.L.C.
• Olympic Internal Medicine, Inc., P.S.
• Olympic Marmot Healthcare LLC
• Olympic Peninsula Kidney Center (OPKC Coordinated Care Unit)
• Olympic Peninsula Kidney Center
• Olympic Plastic Surgery Suite
• Olympic Psychiatric & Wellness Center (Olympic Wellness Center CDP)
• Olympic Radiology Associates Inc PS

• Eyewear Supplier in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.