Denise Marie Iversen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD3967 Issued in WA

Practice address

10990 Harbor Hill Dr NW
Gig Harbor, WA 98332-8945

Phone

(253) 853-8613

Fax

(253) 853-8614

NPI assigned

Aug 10, 2005

Last updated

May 21, 2013By the provider in NPPES

Sex

Female

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 2

Other names 1

• Dr. Denise Marie Close Former name

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

Pacific University - College of Optometry, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Auburn Eyecare Center, LLCGroup PAC ID 8820080088, 2 clinicians

Port Orchard Eyecare Centers Inc, PSGroup PAC ID 4385620202, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Auburn Eyecare Center, LLC

  dba 2020 Eyecare Centers Auburn

  • Optometrist
  • Auburn, WA
  • NPI 1720152895
  Medicare reassignment Care Compare group NPD
• Port Orchard Eyecare Centers Inc, PS

  dba 20/20 Eyecare Centers

  • Optometrist
  • Port Orchard, WA
  • NPI 1326111501
  Medicare reassignment Care Compare group NPD
• 20/20 Eyecare Centers Inc PS

  dba Eyeland Optical

  • Optometrist
  • Vashon, WA
  • NPI 1134292915
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1346241544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 HARBOR HILL DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328945",
            "telephone_number": "253-853-8613",
            "fax_number": "253-853-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 HARBOR HILL DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328945",
            "telephone_number": "253-853-8613",
            "fax_number": "253-853-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSEN",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD3967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE WA",
            "identifier": "G8871458",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2033769",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "CLOSE",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jan Marie Hurnblad Sparks, LMP
• John Husby, ARNP
• Deanna Iff, AU.D.
• Leah J Inman, D.O.
• Integrative Therapeutic Solutions, LLC (Certified Aging in Place Occupational Therapy)
• Suzette Widdison Iverson, MPH PAC
• Adam S. Jackson, L.AC.
• Bruce E Jackson, MA
• James Allen Jackson, M.S.W.
• Trina Jackson, RBT

• 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 May 21, 2013; 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.