Active NPI
St Marks Eye Institute Inc
- Ophthalmology Physician
- Tacoma, WA
National Provider Identifier
1053534347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 601477860
- Legal business name
- ST MARKS EYE INSTITUTE INC
- Practice address
- 502 S 'M' St
Tacoma, WA 98405 - Phone
- (253) 627-8266
- Fax
- (253) 572-7839
- NPI assigned
- Apr 11, 2007
- Organization subpart
- Yes
- Parent organization
- ST MARKS EYE INSTITUTE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Anthony Macleod, M.D.
- Title
- Medical Director
- Phone
- (253) 627-8266
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 601477860 | WA | Primary |
| Ophthalmology Physician | 207W00000X | 14833 | WA | |
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
502 S 'M' St
Tacoma, WA 98405
Mailing address
502 S 'M' St
Tacoma, WA 98405
Phone (253) 627-8266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7051204 | Medicaid | WA |
National Provider Directory
National Provider Directory- Part of
- St Marks Micro Surgery
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Tacoma, WA
- NPI 1174746481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275523200000",
"number": "1053534347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 S 'M' ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-627-8266",
"fax_number": "253-572-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 S 'M' ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-627-8266",
"fax_number": "253-572-7839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST MARKS EYE INSTITUTE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST MARKS EYE INSTITUTE INC",
"enumeration_date": "2007-04-11",
"last_updated": "2010-06-03",
"status": "A",
"authorized_official_last_name": "MACLEOD",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "253-627-8266",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "WA",
"license": "601477860",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "WA",
"license": "14833",
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7051204",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.