Individual provider Active NPI

Thomas A Kvamme, O.D.

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1538235262
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1727TX Issued in WA
Practice address
1201 So Union Ave Suite 5
1201 So Union Ave Suite 5
Tacoma, WA 98405-1916
Phone
(253) 756-6495
Fax
(253) 274-9361
NPI assigned
Nov 27, 2006
Last updated
Apr 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1727TX WA Primary

Addresses

Primary practice location

1201 So Union Ave Suite 5
1201 So Union Ave Suite 5
Tacoma, WA 98405-1916

Mailing address

1201 So Union Ave Suite 5
1201 So Union Ave Suite 5
Tacoma, WA 98405-1916
Phone (253) 756-6495

Other identifiers 3

IdentifierTypeStateIssuer
2006351MedicaidWA
KV2000OtherWAREGENCE
0059882OtherWAL AND I

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080208000294 WA Practitioner - Optometry 8022191477 Reassigns benefits to 1 organization
Practice locations: Tacoma, WA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barry Huse OD and Associates PSGroup PAC ID 0547255739, 4 clinicians

Practice addresses (Care Compare)

2913 S 38TH St
Suite B3
Tacoma, WA 98409-5629
Phone (253) 473-1050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1727TXWAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barry Huse OD & Associates PS CurrentSince Feb 9, 2022 Accepting new patients
Northend Optical Inc. Past Accepting new patients
Spencer Garlick Optometry, PLLC Optometrist PastSince Dec 31, 2019 Accepting new patients

Locations

2913 S 38th St
Ste B3
Tacoma, WA 98409
Phone (253) 473-1050

Interoperability endpoints

  • FHIR API: https://barryhuseod.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1538235262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SO UNION AVE SUITE 5",
            "address_2": "1201 SO UNION AVE SUITE 5",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051916",
            "telephone_number": "253-756-6495",
            "fax_number": "253-274-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SO UNION AVE SUITE 5",
            "address_2": "1201 SO UNION AVE SUITE 5",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051916",
            "telephone_number": "253-756-6495",
            "fax_number": "253-274-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVAMME",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1727TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006351",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "KV2000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L AND I",
            "identifier": "0059882",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.