Stacy Harrison, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3383 Issued in WA

Practice address

11400 51St Ave NW
Gig Harbor, WA 98332-7891

Phone

(253) 853-3011

Fax

(253) 858-9458

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Puget Sound Vision Care PC

  • Optometrist
  • Gig Harbor, WA
  • NPI 1144846031
  NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487873931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15412 128TH STREET KP N",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983295038",
            "telephone_number": "253-853-3011",
            "fax_number": "253-858-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 51ST AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983327891",
            "telephone_number": "253-853-3011",
            "fax_number": "253-858-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021418",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine LB Harris, ARNP
• Jeffrey A Harris, O.D.
• Season Elizabeth Harris, OTR
• Shane Harris, ARNP
• Jeffrey J Harrison, DO
• Cheryl O. Hart, PSY.D.
• Forrest R. E. Hartford, D.C.
• Alexa Marie Hartman
• Lisa Ann Hashman, MD
• Stefanie Hauer

• Optometrist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.