Family Vision Center of Tacoma

Primary specialty

OptometristTaxonomy code 152W00000X

License

3056TX Issued in WA

Legal business name

FAMILY VISION CENTER OF TACOMA

Practice address

2514 N. Adams St.
Tacoma, WA 98406

Phone

(253) 759-5679

Fax

(253) 759-0785

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Wendell Gorham, O.D.NPI 1336204213

Title

Owner

Phone

(253) 759-5679

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 2

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

• Nathan Wendell Gorham, OD

  • Optometrist
  • Puyallup, WA
  • NPI 1336204213
  Medicare reassignment NPD Authorized official
• Stanley W Pugh, OD

  • Optometrist
  • Tacoma, WA
  • NPI 1467510578
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1326236100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 87TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983716214",
            "telephone_number": "253-686-2770",
            "fax_number": "253-759-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 N. ADAMS ST.",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98406",
            "telephone_number": "253-759-5679",
            "fax_number": "253-759-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY VISION CENTER OF TACOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "GORHAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "WENDELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-759-5679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3056TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Falzgraf, M.D.
• Kathryn Paige Fama
• Family Hearing Care Inc.
• Family Restoration & Empowerment Enterprises
• Family Therapy & Recovery P.S.
• Anne E Fanberg
• Francesca S Fanene, LPN
• Alexandria Fappiano, PA-C
• Kellie Jean Faraca, LMP
• Diane A. Faran, M.D.

• 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 Feb 1, 2024; 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.