Organization Active NPI

Eyes Rite Eyecare, Inc.

  • Corneal and Contact Management Optometrist
  • Tacoma, WA
National Provider Identifier
1447363296
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3140 Issued in WA
Legal business name
EYES RITE EYECARE, INC.
Practice address
5003 Tacoma Mall Blvd
#102
Tacoma, WA 98409-7120
Phone
(253) 472-5813
Fax
(253) 472-0640
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Dana Anthony Cocke', ODNPI 1194745729
Title
Ceo
Phone
(253) 472-5813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 3140 WA Primary

Addresses

Primary practice location

5003 Tacoma Mall Blvd
#102
Tacoma, WA 98409-7120

Mailing address

5003 Tacoma Mall Blvd
#102
Tacoma, WA 98409-7120
Phone (253) 472-5813

Other identifiers 1

IdentifierTypeStateIssuer
2019289MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405000463 WA Part B Supplier - Clinic/Group Practice 0244223576 Receives reassigned benefits from 1 practitioner
Practice locations: Tacoma, WA

National Provider Directory

National Provider Directory

Locations

7901 S Hosmer St
Ste A4
Tacoma, WA 98408
Phone (206) 472-5813

5003 Tacoma Mall Blvd
Ste 101
Tacoma, WA 98409

5003 Tacoma Mall Blvd
Ste 102
Tacoma, WA 98409
Phone (253) 472-5813

7813 Pacific Ave
Tacoma, WA 98408
Phone (253) 472-5813

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1447363296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 TACOMA MALL BLVD",
            "address_2": "#102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097120",
            "telephone_number": "253-472-5813",
            "fax_number": "253-472-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 TACOMA MALL BLVD",
            "address_2": "#102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097120",
            "telephone_number": "253-472-5813",
            "fax_number": "253-472-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES RITE EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "COCKE'",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-472-5813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "3140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019289",
            "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 Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.