Gary Buhrmester Mattix, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

398 Issued in WA

Practice address

700 Sleater Kinney Rd SE
Suite E
Lacey, WA 98503-1113

Phone

(360) 438-9458

Fax

(360) 438-8902

NPI assigned

Apr 11, 2007

Last updated

Apr 17, 2008By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Optical Cross LLC

  dba Capital Eyes Optical

  • Eyewear Supplier
  • Lacey, WA
  • NPI 1093438327
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1396968913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SLEATER KINNEY RD SE",
            "address_2": "SUITE E",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031113",
            "telephone_number": "360-438-9458",
            "fax_number": "360-438-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SLEATER KINNEY RD SE",
            "address_2": "SUITE E",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031113",
            "telephone_number": "360-438-9458",
            "fax_number": "360-438-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIX",
        "first_name": "GARY",
        "middle_name": "BUHRMESTER",
        "name_prefix": "Mr.",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009124",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert Massaquoi, DRHSC, PA-C
• Mark S Mathews, P.A.
• Alaysha Nichole Matronia, OTD, OTR/L
• Rebekah Mattes, ATC, LAT
• Matthew D Wall DDS MSD PLLC
• Hugh Mau, RPH
• Matthew Cecil Maxfield, ARNP, PMHNP-BC
• Maxim Healthcare Services, Inc.
• Samantha May
• Maz Adult Family Home LLC

• Optician in Lacey, WA
• Providers in Lacey, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.