Pacific Eyecare of Poulisbo PS

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

MD00029555 Issued in WA

Legal business name

PACIFIC EYECARE OF POULISBO PS

Practice address

20669 Bond Rd NE
Ste 100
Poulsbo, WA 98370

Phone

(360) 779-2020

Fax

(360) 779-3093

NPI assigned

Oct 20, 2005

Organization subpart

No

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

Authorized official

Name

David SC Omorchoc, MD

Title

MD/Owner

Phone

(360) 779-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Optical Doing business as

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477542439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20669 BOND RD NE",
            "address_2": "STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "360-779-2020",
            "fax_number": "360-779-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20669 BOND RD NE",
            "address_2": "STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "98370",
            "telephone_number": "360-779-2020",
            "fax_number": "360-779-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EYECARE OF POULISBO PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OMORCHOC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SC",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "360-779-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "MD00029555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025633",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naomi Whitney Orong, LMT
• Jennifer Osborn, OTA
• Lauren Elizabeth Osborne, MA, LMHC-A, ATR-P
• Dennis E. Ottemiller, M.D.
• Pacific Eye Care of Poulsbo PS
• Pacific Eyecare of Poulsbo PS
• Pacific Eyecare of Poulsbo PS
• Pacific Medical Imaging Consultants, Inc
• Pacific Northwest Care, LLC.
• Pacifica Medicine

• Eyewear Supplier in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.