NPIMap

Organization Active NPI

Pacific Eyecare of Poulsbo PS

Doing business as Pacific EyeCare and Hearing Center

  • Hearing Instrument Specialist
  • Poulsbo, WA
National Provider Identifier
1164711636
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
PACIFIC EYECARE OF POULSBO PS
Doing business as
Pacific EyeCare and Hearing Center
Practice address
20669 Bond Rd NE
Ste 100
Poulsbo, WA 98370
Phone
(360) 779-2020
Fax
(360) 779-3093
NPI assigned
Apr 5, 2011
Organization subpart
Yes
Parent organization
PACIFIC EYECARE OF POULSBO PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
David JC O'Morchoe, MD
Title
MD/Owner
Phone
(360) 779-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X Primary

Addresses

Primary practice location

20669 Bond Rd NE
Ste 100
Poulsbo, WA 98370

Mailing address

20669 Bond Rd NE
Ste 100
Poulsbo, WA 98370
Phone (360) 779-2020

Other names 1

  • Pacific EyeCare and Hearing Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pacific Eyecare of Poulsbo4 organizations share this tax ID, including this one
Part of
Pacific Eyecare of Poulsbo

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1164711636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20669 BOND RD NE",
            "address_2": "STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "360-779-2020",
            "fax_number": "360-779-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20669 BOND RD NE",
            "address_2": "STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "360-779-2020",
            "fax_number": "360-779-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EYECARE OF POULSBO PS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC EYECARE OF POULSBO PS",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "O'MORCHOE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JC",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "360-779-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific EyeCare and Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.