John Eugene Picard, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1720TX Issued in WA

Practice address

10000 Mickleberry Rd
Costco
Silverdale, WA 98383

Phone

(360) 308-2132

NPI assigned

Mar 2, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1134258783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3376",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833376",
            "telephone_number": "360-692-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 MICKLEBERRY RD",
            "address_2": "COSTCO",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383",
            "telephone_number": "360-308-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICARD",
        "first_name": "JOHN",
        "middle_name": "EUGENE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1720TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Pflugrad
• Phillips & Niemeyer, D.D.S., P.L.L.C (Silverdale Dental Center)
• Allison Alicia Phillips, LMT
• Jeffrey William Phillips, DDS
• Physioworks Silverdale PLLC (PhysioWorks)
• Alison Pickens
• Lorie A Plaisance, DC
• Hannah Christine Plueger, A.R.N.P
• Sarah Elizabeth Plyler, M.D.
• Robert Benjamin Pocuis, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.