Tacoma Eyecare Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3284 Issued in WA

Legal business name

TACOMA EYECARE CENTER INC

Practice address

9115 S Tacoma Way Ste 106
Tacoma, WA 98499-4400

Phone

(253) 588-4225

Fax

(253) 588-4402

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Jason I Gim, O.D.

Title

Owner

Phone

(253) 588-4225

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1194906248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 S TACOMA WAY STE 106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984994400",
            "telephone_number": "253-588-4225",
            "fax_number": "253-588-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 S TACOMA WAY STE 106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984994400",
            "telephone_number": "253-588-4225",
            "fax_number": "253-588-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACOMA EYECARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "GIM",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-588-4225",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024421",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tacoma Emergency Care Physicians, PLLC
• Tacoma Emergency Medicine Associates PC
• Tacoma Endodontic Studio
• Tacoma Endoscopy Center
• Tacoma Eye Surgeons PS
• Tacoma Family Chiropractic Inc., P.S.
• Tacoma Family Eyecare
• Tacoma Foot and Ankle Clinic Inc
• Tacoma Health & Rehab LLC
• Tacoma Hyperbaric Billing, LLC

• 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 Apr 26, 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.