Individual provider Active NPI

Jasmine Garrison, OD

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1073367132
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61673832 Issued in WA
Practice address
3602 S 19TH St
Tacoma, WA 98405-1919
Phone
(253) 759-5555
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0004063 CO
Optometrist 152W00000X 6623 FL
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 61673832 WA Primary

Addresses

Primary practice location

3602 S 19TH St
Tacoma, WA 98405-1919

Mailing address

4806 N Vassault St
Tacoma, WA 98407-1222

Other practice location 1

4700 Point Fosdick Dr Ste 112
Gig Harbor, WA 98335-1706
Phone (253) 858-5186

Other names 1

  • Jasmine Colangelo Former name

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
I20250721002366 WA Practitioner - Optometry 7315453966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PNW Eye PLLCGroup PAC ID 0840458261, 10 clinicians

Practice addresses (Care Compare)

3602 S 19TH St
Tacoma, WA 98405-1919
Phone (253) 759-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0004063COMDOptometrist
61673832WAMDOptometrist
6623FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PNW Eye PLLC CurrentSince Jul 1, 2025 Accepting new patients
PNW Eye, PLLC Multi-Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 112
Gig Harbor, WA 98335
Phone (206) 505-1101

3602 S 19th St
Tacoma, WA 98405
Phone (253) 759-5555

Interoperability endpoints

  • Direct secure messaging: jgarrison@pnwe.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1073367132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 N VASSAULT ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984071222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051919",
            "telephone_number": "253-759-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Point Fosdick Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983351706",
            "country_code": "US",
            "telephone_number": "253-858-5186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "JASMINE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0004063",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6623",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61673832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "COLANGELO",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.