Jason I Gim, O.D.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

3284 Issued in WA

Practice address

9115 S Tacoma Way
#106
Tacoma, WA 98499

Phone

(253) 588-4225

Fax

(253) 588-4402

NPI assigned

Sep 29, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Southern California College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barry Huse OD and Associates PSGroup PAC ID 0547255739, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://barryhuseod.ef.prod.fhir.ema-api.com/fhir/r4/

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

• Barry Huse OD & Associates PS

  • Health Service Clinic/Center
  • Tacoma, WA
  • NPI 1760667695
  Medicare reassignment Care Compare group NPD
• Tacoma Eyecare Center Inc

  • Optometrist
  • Tacoma, WA
  • NPI 1194906248
  Authorized official Same address or phone
• Tacoma Eyecare Center, Inc

  • Health Service Clinic/Center
  • Silverdale, WA
  • NPI 1104286020
  NPD (past) Authorized official

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225120660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 S TACOMA WAY",
            "address_2": "#106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98499",
            "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",
            "address_2": "#106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-588-4225",
            "fax_number": "253-588-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIM",
        "first_name": "JASON",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "WA",
            "license": "3284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019529",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION",
            "identifier": "WA3284",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "GI6814",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWEST BENEFIT NETWORK",
            "identifier": "WA0716",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION CARE PLAN",
            "identifier": "625443",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICE",
            "identifier": "7125",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Authur Gilmore
• Mindy Beth Gilmore, LPN
• Nicole Gilmore, RN
• Amy Gilpin
• Shyann Ruby Gilroy
• Joy Gimlett, ARNP
• Pavani Gingrich, MD
• Ginkgo Tree Therapy
• Katherine Marie Ginn, LICSW
• Daniel C Ginsberg, MD

• Low Vision Rehabilitation Optometrist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Low Vision Rehabilitation Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.