Organization Active NPI

Gary Masters Dba Greenwood Optical

  • Eyewear Supplier
  • Seattle, WA
National Provider Identifier
1487792610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
WA0535 Issued in WA
Legal business name
GARY MASTERS DBA GREENWOOD OPTICAL
Practice address
133 N 85TH St
Seattle, WA 98103-3601
Phone
(206) 783-2050
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary Steven Masters, LDO
Title
Owner and Optician
Phone
(206) 783-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X WA0535 WA Primary

Addresses

Primary practice location

133 N 85TH St
Seattle, WA 98103-3601

Mailing address

133 N 85TH St
Seattle, WA 98103-3601
Phone (206) 783-2050

Other identifiers 1

IdentifierTypeStateIssuer
2014777MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487792610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N 85TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033601",
            "telephone_number": "206-783-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N 85TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033601",
            "telephone_number": "206-783-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY MASTERS DBA GREENWOOD OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER AND OPTICIAN",
        "authorized_official_telephone_number": "206-783-2050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "WA0535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014777",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • 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.