Organization Active NPI

Tacoma Eyecare Center, Inc

  • Health Service Clinic/Center
  • Silverdale, WA
National Provider Identifier
1104286020
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
WA3284 Issued in WA
Legal business name
TACOMA EYECARE CENTER, INC
Practice address
9990 Mickelberry Rd NW
Silverdale, WA 98383
Phone
(360) 692-7372
Fax
(360) 337-2393
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Dr. Jason I GimNPI 1225120660
Title
President
Phone
(253) 588-4225

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X WA3284 WA Primary

Addresses

Primary practice location

9990 Mickelberry Rd NW
Silverdale, WA 98383

Mailing address

9115 So. Tacoma Way 106
Lakewood, WA 98499
Phone (253) 588-4225

National Provider Directory

National Provider Directory

Locations

9990 Mickelberry Rd NW
Silverdale, WA 98383
Phone (360) 692-7372

9115 South Tacoma Way
Ste 106
Tacoma, WA 98499
Phone (206) 558-4225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1104286020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 SO. TACOMA WAY 106",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-588-4225",
            "fax_number": "253-588-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 MICKELBERRY RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-692-7372",
            "fax_number": "360-337-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA EYECARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "GIM",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-588-4225",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "WA3284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.