Active NPI
Harbor Eye Consultants
- Ophthalmology Physician
- Gig Harbor, WA
National Provider Identifier
1578853057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD 45759
- Legal business name
- HARBOR EYE CONSULTANTS
- Practice address
- 2102 155TH St NW
Gig Harbor, WA 98332-9263 - Phone
- (253) 691-1066
- NPI assigned
- Apr 18, 2011
- Last updated
- Apr 18, 2011
- 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
- David Matthew Bushley, MD
- Title
- President
- Phone
- (253) 691-1066
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD 45759 | WA | Primary |
Addresses
Primary practice location
2102 155TH St NW
Gig Harbor, WA 98332-9263
Mailing address
2102 155TH St NW
Gig Harbor, WA 98332-9263
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952375792 | Other | INDIVIDUAL NPI | |
| MD 45759 | Other | WA | MD LICENSE |
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, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Farmington, CT
- NPI 1952375792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303084800000",
"number": "1578853057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2102 155TH ST NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983329263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 155TH ST NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983329263",
"telephone_number": "253-691-1066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR EYE CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-18",
"last_updated": "2011-04-18",
"status": "A",
"authorized_official_last_name": "BUSHLEY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "253-691-1066",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD 45759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1952375792",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "MD 45759",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
- Harbor Audiology & Hearing Services Inc
- Harbor Child and Family Therapy, PLLC
- Harbor Children's Therapy, L.L.C.
- Harbor Dermatology PLLC (Harbor Dermatology)
- Harbor Endoscopy Center Inc
- Harbor Eye Physicians & Surgeons, PC
- Harbor First Assist Group, LLC
- Harbor Healing Arts PLLC (Habor Healing Arts)
- Harbor Health, LLC (Harbor Health and Apothecary)
- Harbor Heritage Rosewood, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.