Individual provider Active NPI

Stephen Andrew Tweit, O.D.

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1437254109
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OL864 Issued in WA
Practice address
5409 S Tacoma Way
Tacoma, WA 98409-4312
Phone
(253) 472-3397
Fax
(253) 472-3398
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OL864 WA Primary

Addresses

Primary practice location

5409 S Tacoma Way
Tacoma, WA 98409-4312

Mailing address

5409 S Tacoma Way
Tacoma, WA 98409-4312
Phone (253) 472-3397

Other identifiers 1

IdentifierTypeStateIssuer
2903904MedicaidWA

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
OL864WAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1437254109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 S TACOMA WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984094312",
            "telephone_number": "253-472-3397",
            "fax_number": "253-472-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 S TACOMA WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984094312",
            "telephone_number": "253-472-3397",
            "fax_number": "253-472-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEIT",
        "first_name": "STEPHEN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OL864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2903904",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.