Organization Active NPI

Dr Shelby D Robinson Therapeutic

Doing business as Cascade Pacific Eyecare

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1154349868
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3795 Issued in WA
Legal business name
DR SHELBY D ROBINSON THERAPEUTIC
Doing business as
Cascade Pacific Eyecare
Practice address
1314 72ND St E Ste D
Tacoma, WA 98404-3343
Phone
(253) 531-5535
Fax
(253) 537-1657
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Shelby D Robinson, OD
Title
President
Phone
(253) 531-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3795 WA Primary

Addresses

Primary practice location

1314 72ND St E Ste D
Tacoma, WA 98404-3343

Mailing address

PO Box 111597
Tacoma, WA 98411-1597
Phone (253) 531-5535

Other identifiers 1

IdentifierTypeStateIssuer
2031839MedicaidWA

Other names 1

  • Cascade Pacific Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

1314 E 72nd St
Ste K
Tacoma, WA 98404
Phone (253) 531-5535

1314 E 72nd St
Ste D
Tacoma, WA 98404
Phone (253) 531-5535

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1154349868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111597",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984111597",
            "telephone_number": "253-531-5535",
            "fax_number": "253-537-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 72ND ST E STE D",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984043343",
            "telephone_number": "253-531-5535",
            "fax_number": "253-537-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHELBY D ROBINSON THERAPEUTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-531-5535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031839",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Pacific 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 Jun 7, 2011; 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.