Active NPI
Stacy Lynn Tovarek, O.D.
- Optometrist
- Gig Harbor, WA
National Provider Identifier
1659360394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 03945
- Practice address
- 3220 Uddenberg LN
Suite 5
Gig Harbor, WA 98335-5128 - Phone
- (253) 851-2020
- NPI assigned
- Oct 16, 2005
- Last updated
- Jan 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 03945 | WA | Primary |
| Optometrist | 152W00000X | 280T | WY |
Addresses
Primary practice location
3220 Uddenberg LN
Suite 5
Gig Harbor, WA 98335-5128
Mailing address
PO Box 2020
Gig Harbor, WA 98335-4020
Phone (253) 851-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00375324 | Other | WA | RAILROAD MEDICARE PIN |
| 2030989 | Medicaid | WA |
Other names 1
- Dr. Stacy Lynn Paul
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3220 Uddenberg LN
Suite 5
Gig Harbor, WA 98335-5128
Phone (253) 851-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03945 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gig Harbor Vision Center PS | Optometrist | Current | Accepting new patients |
| Contact Lens Associates, LLC | Past | Accepting new patients |
Locations
3220 Uddenberg Ln
Ste 5
Gig Harbor, WA 98335
Phone (253) 851-2020
Organizations & group practices 2
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.
-
- Optometrist
- Gig Harbor, WA
- NPI 1932287869
-
- Corneal and Contact Management Optometrist
- Albuquerque, NM
- NPI 1497808554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1659360394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2020",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983354020",
"telephone_number": "253-851-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 UDDENBERG LN",
"address_2": "SUITE 5",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983355128",
"telephone_number": "253-851-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOVAREK",
"first_name": "STACY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-16",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "03945",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WY",
"license": "280T",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00375324",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2030989",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "PAUL",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.