Gig Harbor Eye PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GIG HARBOR EYE PLLC

Doing business as

Gig Harbor Eye Care

Practice address

4949 Borgen Blvd NW Ste 107
Gig Harbor, WA 98332-7895

Phone

(253) 313-5652

NPI assigned

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

David Shin, ODNPI 1710241831

Title

President

Phone

(253) 313-5652

Specialties & licenses 1

Addresses

Other names 1

• Gig Harbor Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Shin, O.D.

  • Optometrist
  • Gig Harbor, WA
  • NPI 1710241831
  Medicare reassignment Care Compare group NPD Authorized official
• Pherrahjae C. Gosnell, O.D.

  • Optometrist
  • Tacoma, WA
  • NPI 1174923403
  Medicare reassignment Care Compare group NPD
• Carmian Buiquy, OD

  • Optometrist
  • Glendale, AZ
  • NPI 1780333658

  WA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1164947776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 BORGEN BLVD NW STE 107",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 BORGEN BLVD NW STE 107",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327895",
            "telephone_number": "253-313-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIG HARBOR EYE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-313-5652",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gig Harbor Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gig Harbor Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carole Gibson-Smith
• Kendall Ryan Gielow, DPT
• Gig Harbor (Gig Harbor Rexall Pharmacy)
• Gig Harbor Chiropractic and Massage
• Gig Harbor Counseling Services, LLC
• Gig Harbor Foot & Ankle Clinic, LLC
• Gig Harbor Medical Spa (Gig Harbor Medical Spa and Concierge Medicine)
• Gig Harbor Medical Supplies
• Gig Harbor Midwifery, PLLC
• Gig Harbor Naturopathic Medicine PS

• Optometrist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.