Individual provider Active NPI

Tamiko Escalante, OD

  • Optometrist
  • Olympia, WA
National Provider Identifier
1639846595
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61211416 Issued in WA
Practice address
1625 Cooper Point Rd SW
Olympia, WA 98502-5735
Phone
(360) 357-6683
NPI assigned
Aug 26, 2021
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61211416 WA Primary

Addresses

Primary practice location

1625 Cooper Point Rd SW
Olympia, WA 98502-5735

Mailing address

1625 Cooper Point Rd SW
Olympia, WA 98502-5735

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tamikoe@olympiavision.com Direct Olympia Vision Clinic and Contact Lens Center, PLLC

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
I20211129000806 WA Practitioner - Optometry 9537559935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympia Vision Clinic and Contact Lens Center, PLLCGroup PAC ID 8820080237, 10 clinicians

Practice addresses (Care Compare)

1625 Cooper Point Rd SW
Olympia, WA 98502-5735
Phone (360) 357-6683

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Vision Clinic and Contact Lens Center, PLLC Optometrist CurrentSince Oct 12, 2021 Accepting new patients

Locations

10217 19th Ave SE
Ste 102
Everett, WA 98208
Phone (425) 316-9400

5321 Corporate Center Loop SE
Lacey, WA 98503
Phone (360) 459-2108

1625 Cooper Point Rd SW
Olympia, WA 98502
Phone (360) 357-6683

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, 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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1639846595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 COOPER POINT RD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 COOPER POINT RD SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025735",
            "telephone_number": "360-357-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALANTE",
        "first_name": "TAMIKO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61211416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tamikoe@olympiavision.com",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "affiliationName": "Olympia Vision Clinic and Contact Lens Center, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1625 Cooper Point Rd SW",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985025735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.