Susan Marie Gorny, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OL3475TX Issued in WA

Practice address

2217 N 30TH St
Suite 106
Tacoma, WA 98403-3320

Phone

(253) 627-2818

Fax

(253) 627-1901

NPI assigned

Nov 7, 2006

Last updated

Dec 16, 2013By the provider in NPPES

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

University of California - School of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bayview Eyecare PS

  dba Bayview Eyecare

  • Optometrist
  • Tacoma, WA
  • NPI 1144678459
  NPD (past) Authorized official
• MC Kinney Whitemarsh PLLC

  dba The Visual Connection

  • Optometrist
  • Bremerton, WA
  • NPI 1518168509
  NPD (past)
• MC Kinney Whitemarsh PLLC

  dba the visual connection

  • Optometrist
  • Belfair, WA
  • NPI 1720285059
  NPD (past)
• Northend Optical Inc.

  • Eyewear Supplier
  • Tacoma, WA
  • NPI 1487860508
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1619046372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 N 30TH ST",
            "address_2": "SUITE 106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033320",
            "telephone_number": "253-627-2818",
            "fax_number": "253-627-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 N 30TH ST",
            "address_2": "SUITE 106",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033320",
            "telephone_number": "253-627-2818",
            "fax_number": "253-627-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNY",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OL3475TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014601",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hugh James Gorey Jr., D.P.M.
• Samantha Rae Gorham, LMFTA
• Bernice Gorkin
• Ashlee Gormley
• Joseph Robert Gormley
• Jessica Rae Gosch, RD, CD
• Nathan Gosenberg
• Mulusew Tibebu Goshe, MD
• McKennah A Goshgarian, MD
• Pherrahjae C. Gosnell, O.D.

• Optometrist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.