Active NPI
Truvision Eye Care LLC
- Optometrist
- Tacoma, WA
National Provider Identifier
1639613706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD60578063
- Legal business name
- TRUVISION EYE CARE LLC
- Practice address
- 4502 S Steele St
304B
Tacoma, WA 98409-7242 - Phone
- (253) 472-6465
- Fax
- (855) 697-2485
- NPI assigned
- Dec 8, 2016
- 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
- Dr. Tiffany Kim, O.D.
- Title
- Owner
- Phone
- (253) 472-6465
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD60578063 | WA | Primary |
Addresses
Primary practice location
4502 S Steele St
304B
Tacoma, WA 98409-7242
Mailing address
4502 S Steele St
304B
Tacoma, WA 98409-7242
Phone (253) 472-6465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488412800000",
"number": "1639613706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 S STEELE ST",
"address_2": "304B",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097242",
"telephone_number": "253-472-6465",
"fax_number": "855-697-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 S STEELE ST",
"address_2": "304B",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097242",
"telephone_number": "253-472-6465",
"fax_number": "855-697-2485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUVISION EYE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-08",
"last_updated": "2017-03-02",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-472-6465",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "OD60578063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.