Individual provider Active NPI

William C Gimness, O.D.

  • Optometrist
  • Spokane, WA
National Provider Identifier
1346307055
Registry record updated Feb 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00001225 Issued in WA
Practice address
513 E Hastings Rd Ste C
Spokane, WA 99218-1977
Phone
(509) 328-2632
Fax
(509) 324-2377
NPI assigned
Jan 2, 2007
Last updated
Feb 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00001225 WA Primary
Optometrist 152W00000X TX00001225 WA

Addresses

Primary practice location

513 E Hastings Rd Ste C
Spokane, WA 99218-1977

Mailing address

513 E Hastings Rd Ste C
Spokane, WA 99218-1977
Phone (509) 328-2632

Other practice location 1

1720 N Hamilton St
Spokane, WA 99207-2474
Phone (509) 328-2632

Other identifiers 1

IdentifierTypeStateIssuer
2035277MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00001225WAMDOptometrist
TX00001225WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
William C. Gimness, O.D., P.S. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550275200000",
    "number": "1346307055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 E HASTINGS RD STE C",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181977",
            "telephone_number": "509-328-2632",
            "fax_number": "509-324-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E HASTINGS RD STE C",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181977",
            "telephone_number": "509-328-2632",
            "fax_number": "509-324-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 N Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992072474",
            "country_code": "US",
            "telephone_number": "509-328-2632",
            "fax_number": "509-324-2377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIMNESS",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2019-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001225",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "TX00001225",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2035277",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.