Pherrahjae C. Gosnell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

60471254 Issued in WA

Practice address

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

Phone

(253) 531-5535

NPI assigned

Aug 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gig Harbor Eye PLLCGroup PAC ID 7517227788, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gig Harbor Eye PLLC

  • Optometrist
  • Gig Harbor, WA
  • NPI 1164947776
  Medicare reassignment Care Compare group NPD
• Northend Optical Inc.

  • Eyewear Supplier
  • Tacoma, WA
  • NPI 1487860508
  NPD (past)

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1174923403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 BORGEN BLVD",
            "address_2": "STE 107",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327895",
            "telephone_number": "253-313-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 72ND ST E",
            "address_2": "SUITE D",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984043343",
            "telephone_number": "253-531-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSNELL",
        "first_name": "PHERRAHJAE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60471254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Gorny, OD
• Jessica Rae Gosch, RD, CD
• Nathan Gosenberg
• Mulusew Tibebu Goshe, MD
• McKennah A Goshgarian, MD
• Lisa Gosselin, M.A., CCC-SLP
• Sofia Gotay
• Michael Howard Gotschall Jr., MD
• Hannah Marie Gottschall, C.N.M.
• Denise Laurann Goudelock, RDH

• Optometrist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.