Organization Active NPI

Dr. Pamela F. Duesing, PLLC

  • Optometrist
  • Sammamish, WA
National Provider Identifier
1073837043
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1645TX Issued in WA
Legal business name
DR. PAMELA F. DUESING, PLLC
Practice address
3042 Issaquah Pine Lake Rd SE
Sammamish, WA 98075-7253
Phone
(425) 392-7876
Fax
(425) 392-9927
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Dr. Pamela F. Duesing, O.D.
Title
Ceo
Phone
(425) 392-7876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1645TX WA Primary

Addresses

Primary practice location

3042 Issaquah Pine Lake Rd SE
Sammamish, WA 98075-7253

Mailing address

3042 Issaquah Pine Lake Rd SE
Sammamish, WA 98075-7253
Phone (425) 392-7876

Other identifiers 1

IdentifierTypeStateIssuer
2014272MedicaidWA

Other names 1

  • Pamela F. Duesing Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1073837043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 ISSAQUAH PINE LAKE RD SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757253",
            "telephone_number": "425-392-7876",
            "fax_number": "425-392-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 ISSAQUAH PINE LAKE RD SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757253",
            "telephone_number": "425-392-7876",
            "fax_number": "425-392-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAMELA F. DUESING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "DUESING",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-392-7876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1645TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014272",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamela F. Duesing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.