Franciscan Medical Group

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FRANCISCAN MEDICAL GROUP

Doing business as

Franciscan Eye Care

Practice address

6401 Kimball Dr
Gig Harbor, WA 98335-1228

Phone

(253) 502-5965

Fax

(253) 593-8410

NPI assigned

Aug 1, 2006

Organization subpart

Yes

Parent organization

FRANCISCAN MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Cliff Robertson

Title

Chief Medical Officer

Phone

(253) 779-6101

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Franciscan Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

Franciscan Medical Grou

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Fisher

  • Registered Dietitian
  • Bremerton, WA
  • NPI 1639395452
  NPD
• Estrelino D Velasco Jr., MD

  • Family Medicine Physician
  • Milton, WA
  • NPI 1407889660
  NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1225044951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 KIMBALL DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351228",
            "telephone_number": "253-502-5965",
            "fax_number": "253-593-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 KIMBALL DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351228",
            "telephone_number": "253-502-5965",
            "fax_number": "253-593-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN MEDICAL GROUP",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "253-779-6101"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0126535",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7131089",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franciscan Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franciscan Health Systems (St Anthony Hospital -Pac Lab)
• Franciscan Health Systems (St Anthony Hospital)
• Franciscan Medical Group (Franciscan Cardiology Associates)
• Franciscan Medical Group (Franciscan Surgical Associates)
• Franciscan Medical Group (Franciscan Digestive Care-Gig Harbor)
• Franciscan Medical Group (Gig Harbor Ambulatory Surgery Center)
• Franciscan Medical Group (Franciscan Medical Clinic-Pt. Fosdick)
• Franciscan Medical Group (FMG-Northwest Neurology (GH))
• Franciscan Medical Group (Franciscan Women's Health)
• Franciscan Medical Group (Franciscan Neurology Clinic - Gig Harbor)

• 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 Jun 20, 2008; 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.