Pacific Eyecare of Poulsbo PS

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

MD00029555 Issued in WA

Legal business name

PACIFIC EYECARE OF POULSBO PS

Doing business as

Pacific Optical

Practice address

2029 E Sims Way
PT Townsend, WA 98368-6905

Phone

(360) 385-5386

Fax

(360) 385-3863

NPI assigned

Oct 17, 2005

Organization subpart

No

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

Authorized official

Name

David JC Omorchoe, MD

Title

MD Owner

Phone

(360) 385-5386

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Optical Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsay Marie Hendricks, O.D.

  • Optometrist
  • Poulsbo, WA
  • NPI 1285980623
  NPD
• James Lin, MD

  • Ophthalmology Physician
  • Poulsbo, WA
  • NPI 1821085846
  NPD
• Connor David Nathe

  • Student in an Organized Health Care Education/Training Program
  • Seattle, WA
  • NPI 1770044752
  NPD
• Andrew Glen Noble, O.D.

  • Optometrist
  • Poulsbo, WA
  • NPI 1083963482
  NPD
• Dennis E. Ottemiller, M.D.

  • Ophthalmology Physician
  • Poulsbo, WA
  • NPI 1649271487
  NPD
• Lindsey K. Sewell, O.D.

  • Optometrist
  • Silverdale, WA
  • NPI 1114079928
  NPD
• Bradley Maier

  • Optometrist
  • Port Townsend, WA
  • NPI 1073500476
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1649269242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20669 BOND RD NE",
            "address_2": "STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706525",
            "telephone_number": "360-779-2020",
            "fax_number": "360-779-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 E SIMS WAY",
            "city": "PT TOWNSEND",
            "state": "WA",
            "postal_code": "983686905",
            "telephone_number": "360-385-5386",
            "fax_number": "360-385-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EYECARE OF POULSBO PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "OMORCHOE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JC",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "360-385-5386",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "MD00029555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025633",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stig K a Osterberg, DDS MSD
• Sierra Anesthesia

• Eyewear Supplier in PT Townsend, WA
• Providers in PT Townsend, WA by specialty
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.