Active NPI
Nida Goulding, O.D.
- Optometrist
- Puyallup, WA
National Provider Identifier
1477581080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4049
- Practice address
- 1100 N Meridian
Puyallup, WA 98371-4403 - Phone
- (253) 848-6400
- Fax
- (360) 579-0749
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 4049 | WA | Primary |
Addresses
Primary practice location
1100 N Meridian
Puyallup, WA 98371-4403
Mailing address
PO Box 633
Langley, WA 98260-0633
Phone (808) 281-9272
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4049 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1477581080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 633",
"city": "LANGLEY",
"state": "WA",
"postal_code": "982600633",
"telephone_number": "808-281-9272",
"fax_number": "360-579-0749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983714403",
"telephone_number": "253-848-6400",
"fax_number": "360-579-0749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULDING",
"first_name": "NIDA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "4049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.