Active NPI
Pamela A Ziobro, OD
- Optometrist
- Gig Harbor, WA
National Provider Identifier
1376532317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00001951
- Practice address
- 4700 Point Fosdick Drive NW
Ste 112
Gig Harbor, WA 98335 - Phone
- (206) 505-1101
- NPI assigned
- Oct 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00001951 | WA | Primary |
Addresses
Primary practice location
4700 Point Fosdick Drive NW
Ste 112
Gig Harbor, WA 98335
Mailing address
3602 S 19TH Street
Tacoma, WA 98405
Phone (206) 505-1101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022374 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OD00001951 | WA | MD | Optometrist |
| 1951 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PNW Eye, PLLC | Past | Accepting new patients | |
| PNW Eye PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Ambulatory Surgical Clinic/Center
- Tacoma, WA
- NPI 1750663084
-
- Ophthalmology Physician
- Tacoma, WA
- NPI 1235262551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1376532317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3602 S 19TH STREET",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "206-505-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 POINT FOSDICK DRIVE NW",
"address_2": "STE 112",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "98335",
"telephone_number": "206-505-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIOBRO",
"first_name": "PAMELA",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-20",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00001951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2022374",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.