Pacific Eyecare of Poulsbo PS

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PACIFIC EYECARE OF POULSBO PS

Practice address

20669 Bond Rd NE Ste 100
Poulsbo, WA 98370-6525

Phone

(360) 779-2020

Fax

(360) 779-3093

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

David O'Morchoe, MD

Title

Owner/MD

Phone

(360) 779-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pacific Eyecare of Poulsbo4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Eye Care of Poulsbo PS

  • Ophthalmology Physician
  • Poulsbo, WA
  • NPI 1205825262
  NPD tax ID
• Pacific Eye Care of Poulsbo PS

  • Eyewear Supplier
  • PT Orchard, WA
  • NPI 1811986870
  NPD tax ID
• Pacific Eyecare of Poulsbo PS

  • Hearing Instrument Specialist
  • Poulsbo, WA
  • NPI 1164711636
  NPD tax ID

Locations

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1093915449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20669 BOND RD NE STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706525",
            "telephone_number": "360-779-2020",
            "fax_number": "360-779-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20669 BOND RD NE STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706525",
            "telephone_number": "360-779-2020",
            "fax_number": "360-779-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EYECARE OF POULSBO PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "O'MORCHOE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "360-779-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018968",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Osborn, OTA
• Lauren Elizabeth Osborne, MA, LMHC-A, ATR-P
• Dennis E. Ottemiller, M.D.
• Pacific Eye Care of Poulsbo PS
• Pacific Eyecare of Poulisbo PS
• Pacific Eyecare of Poulsbo PS
• Pacific Medical Imaging Consultants, Inc
• Pacific Northwest Care, LLC.
• Pacifica Medicine
• Melisa C Parish, M.S.

• Optometrist in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.