Active NPI
Patrick Daniel Munson, MD
- Ophthalmology Physician
- Lacey, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD61010671
- Practice address
- 8050 Freedom LN NE Ste a
Lacey, WA 98516-4761 - Phone
- (360) 459-5274
- NPI assigned
- Jan 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 24567 | NE | |
| Ophthalmology Physician | 207W00000X | R8245 | TX | |
| Ophthalmology Physician | 207W00000X | MD61010671 | WA | Primary |
Addresses
Primary practice location
8050 Freedom LN NE Ste a
Lacey, WA 98516-4761
Mailing address
8050 Freedom LN NE Ste a
Lacey, WA 98516-4761
Phone (360) 214-5010
Other practice location 1
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431
Phone (253) 968-1760
Other practice location 2
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431
Phone (253) 968-1760
Other practice location 3
9040 Jackson Ave
ATTN: Credentials Office (POC Tonia Smith)
Tacoma, WA 98431
Phone (253) 968-2252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24567 | NE | MD | Ophthalmology Physician |
| R8245 | TX | MD | Ophthalmology Physician |
| MD61010671 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orvos Healthcare LLC | Current | Accepting new patients |
Interoperability endpoints
- pmunson@clarus.direct.eyemdemr.com
Organizations & group practices 1
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.
-
- Retina Specialist (Ophthalmology) Physician
- Burleson, TX
- NPI 1598361545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1598940405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8050 FREEDOM LN NE STE A",
"city": "LACEY",
"state": "WA",
"postal_code": "985164761",
"telephone_number": "360-214-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8050 FREEDOM LN NE STE A",
"city": "LACEY",
"state": "WA",
"postal_code": "985164761",
"telephone_number": "360-459-5274"
}
],
"practiceLocations": [
{
"address_1": "9040 Fitzsimmons Dr",
"address_purpose": "LOCATION",
"city": "Joint Base Lewis McChord",
"state": "WA",
"postal_code": "98431",
"country_code": "US",
"telephone_number": "253-968-1760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9040 Fitzsimmons Dr",
"address_purpose": "LOCATION",
"city": "Joint Base Lewis McChord",
"state": "WA",
"postal_code": "98431",
"country_code": "US",
"telephone_number": "253-968-1760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9040 Jackson Ave",
"address_2": "ATTN: Credentials Office (POC Tonia Smith)",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "98431",
"country_code": "US",
"telephone_number": "253-968-2252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNSON",
"first_name": "PATRICK",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-09",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NE",
"license": "24567",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "R8245",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD61010671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.