NPIMap

Organization Active NPI

Tacoma Eye Surgeons PS

  • Ophthalmology Physician
  • Tacoma, WA
National Provider Identifier
1144659764
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
37629 Issued in WA
Legal business name
TACOMA EYE SURGEONS PS
Practice address
502 S M St
Tacoma, WA 98405-3728
Phone
(253) 301-4953
Fax
(866) 482-0873
NPI assigned
Nov 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Andrew Kopstein, MD
Title
President
Phone
(253) 301-4953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 37629 WA Primary

Addresses

Primary practice location

502 S M St
Tacoma, WA 98405-3728

Mailing address

502 S M St
Tacoma, WA 98405-3728
Phone (253) 301-4953

Other identifiers 2

IdentifierTypeStateIssuer
1124050117OtherWAINDIV NPI
37629OtherWAWA MD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1144659764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S M ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053728",
            "telephone_number": "253-301-4953",
            "fax_number": "866-482-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S M ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053728",
            "telephone_number": "253-301-4953",
            "fax_number": "866-482-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA EYE SURGEONS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "KOPSTEIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-301-4953",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "37629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV NPI",
            "identifier": "1124050117",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA MD",
            "identifier": "37629",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.