Active NPI
Gary Masters Dba Greenwood Optical
- Eyewear Supplier
- Seattle, WA
National Provider Identifier
1487792610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- WA0535
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014777 | Medicaid | WA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Seattle, WA
- NPI 1164586467
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.