Northend Optical Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

NORTHEND OPTICAL INC.

Practice address

5917 N 26TH St
Suite C
Tacoma, WA 98407-2359

Phone

(253) 759-2299

Fax

(253) 752-4930

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Diane J Blair, LDO

Title

Sec. Treas.

Phone

(253) 759-2299

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Spencer David Garlick, O.D.

  • Optometrist
  • Fircrest, WA
  • NPI 1649589722
  NPD (past)
• Susan Marie Gorny, OD

  • Optometrist
  • Tacoma, WA
  • NPI 1619046372
  NPD (past)
• Pherrahjae C. Gosnell, O.D.

  • Optometrist
  • Tacoma, WA
  • NPI 1174923403
  NPD (past)
• Thomas A Kvamme, O.D.

  • Optometrist
  • Tacoma, WA
  • NPI 1538235262
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487860508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 N 26TH ST",
            "address_2": "SUITE C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072359",
            "telephone_number": "253-759-2299",
            "fax_number": "253-752-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 N 26TH ST",
            "address_2": "SUITE C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072359",
            "telephone_number": "253-759-2299",
            "fax_number": "253-752-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEND OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SEC. TREAS.",
        "authorized_official_telephone_number": "253-759-2299",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016269",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Little Rock Dialysis
• North Tacoma Family Health
• North Tacoma Pediatric Dentistry and Orthodontics LLC
• North Tacoma Pediatrics, Inc
• North Tacoma Physical Therapy, PLLC
• Corrie Northfell, ARNP
• Northland Hearing Center, Inc.
• Northland Hearing Center, Inc.
• Northland Hearing Centers, Inc.
• Reve K Northrup, CNA/CMA

• Eyewear Supplier in Tacoma, WA
• Providers in Tacoma, 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.