Organization Active NPI

Bayview Eyecare PS

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1144678459
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
603619140 Issued in WA
Legal business name
BAYVIEW EYECARE PS
Practice address
2217 N 30TH St
Ste 106
Tacoma, WA 98403-3320
Phone
(253) 627-2818
Fax
(253) 627-1901
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Susan M Gorny, O.D.NPI 1619046372
Title
President
Phone
(253) 627-2818

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 603619140 WA Primary

Addresses

Primary practice location

2217 N 30TH St
Ste 106
Tacoma, WA 98403-3320

Mailing address

2217 N 30TH St
Ste 106
Tacoma, WA 98403-3320
Phone (253) 627-2818

Other names 1

  • Bayview Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

2217 N 30th St
Ste 106
Tacoma, WA 98403
Phone (253) 223-4894

Practitioners & affiliated clinicians

Practitioners 2

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": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1144678459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 N 30TH ST",
            "address_2": "STE 106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033320",
            "telephone_number": "253-627-2818",
            "fax_number": "253-627-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 N 30TH ST",
            "address_2": "STE 106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033320",
            "telephone_number": "253-627-2818",
            "fax_number": "253-627-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW EYECARE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "GORNY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-627-2818",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "603619140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayview Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 26, 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.