Individual provider Active NPI

Nathan J Ho, OD

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1093207110
Registry record updated Oct 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60858276 Issued in WA
Practice address
2913 S 38TH St
Ste B3
Tacoma, WA 98409-5629
Phone
(253) 473-1050
NPI assigned
Jun 4, 2018
Last updated
Oct 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60858276 WA Primary

Addresses

Primary practice location

2913 S 38TH St
Ste B3
Tacoma, WA 98409-5629

Mailing address

2913 S 38TH St
Ste B3
Tacoma, WA 98409-5629
Phone (253) 583-6836

Other practice location 1

10990 Harbor Hill Dr
Gig Harbor, WA 98332-8945
Phone (253) 853-8613

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
I20191108000042 WA Practitioner - Optometry 1355773631 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60858276WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Family Vision Clinic, PLLC Optometrist CurrentSince Mar 4, 2024 Accepting new patients
Olympia Vision Clinic and Contact Lens Center, PLLC Optometrist CurrentSince Feb 20, 2025 Accepting new patients
David Thomas Williams Optometrist PastSince Mar 4, 2024 Accepting new patients

Locations

10217 19th Ave SE
Ste 102
Everett, WA 98208
Phone (425) 316-9400

1625 Cooper Point Rd SW
Olympia, WA 98502
Phone (360) 357-6683

9101 Bridgeport Way SW
Ste C
Tacoma, WA 98499
Phone (206) 588-2254

Organizations & group practices 3

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570320000000",
    "number": "1093207110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 S 38TH ST",
            "address_2": "STE B3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984095629",
            "telephone_number": "253-583-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 S 38TH ST",
            "address_2": "STE B3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984095629",
            "telephone_number": "253-473-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10990 Harbor Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983328945",
            "country_code": "US",
            "telephone_number": "253-853-8613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "NATHAN",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2019-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60858276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.