Tumwater Eye Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3087 Issued in WA

Legal business name

TUMWATER EYE CENTER INC

Practice address

6510 Capitol Blvd SE
Tumwater, WA 98501-5566

Phone

(360) 352-6060

Fax

(360) 357-7339

NPI assigned

Mar 17, 2010

Organization subpart

No

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

Authorized official

Name

Douglas N. Jeske, ODNPI 1235127093

Title

President

Phone

(360) 352-6060

Specialties & licenses 1

Addresses

Other names 1

• VUE Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tumwater Eye Center Inc

  • Optometrist
  • Tumwater, WA
  • NPI 1265769202

  O20100310000754

  Same enrollment

Locations

Practitioners 3

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

• Douglas N. Jeske, O.D.

  • Optometrist
  • Tumwater, WA
  • NPI 1235127093
  NPD Authorized official
• Danielle M Simpson, O.D.

  • Optometrist
  • Tumwater, WA
  • NPI 1326336157
  NPD (past)
• Devin Ray Finch, OD

  • Optometrist
  • Amarillo, TX
  • NPI 1285294785
  NPD (past)

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591488000000",
    "number": "1336463538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 CAPITOL BLVD SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015566",
            "telephone_number": "360-352-6060",
            "fax_number": "360-357-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 CAPITOL BLVD SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015566",
            "telephone_number": "360-352-6060",
            "fax_number": "360-357-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUMWATER EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A",
        "authorized_official_last_name": "JESKE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-352-6060",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ludmila Tschursin
• Kellyn Tucker
• Nicholas James Ryan Tucker
• Tumwater Chiropractic Center PS
• Tumwater Eye Center Inc
• Tumwater Family Practice Clinic
• Tumwaterschool District
• Sandra Lorena Umana, LPN
• Lynn Urvina, BA
• Lauren Valley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.