Michael David Noble, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

60684020 Issued in WA

Practice address

2505 S 38TH St Ste A108
Tacoma, WA 98409-7372

Phone

(253) 472-1188

Fax

(253) 472-3594

NPI assigned

Mar 7, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

International American University at Puerto Rico - School of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pearl Eye Care Center PSGroup PAC ID 4587634829, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pearl Eye Care Center, P.S.

  • Optometrist
  • University Place, WA
  • NPI 1376730382
  Medicare reassignment Care Compare group Authorized official
• Noble Eyes Specialty & Medspa

  • Optometrist
  • University Place, WA
  • NPI 1437970894
  NPD Authorized official
• Pearl Eyecare Center P S

  • Optometrist
  • Puyallup, WA
  • NPI 1174294870
  NPD Authorized official

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1689090102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S 38TH ST STE A108",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097372",
            "telephone_number": "253-472-1188",
            "fax_number": "253-472-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S 38TH ST STE A108",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097372",
            "telephone_number": "253-472-1188",
            "fax_number": "253-472-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002303",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60684020",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Nnoli, M.D.
• Uri Nnoli
• Jordan Dayle Marie Noad
• Paul Edward Noakes Jr., OTR/L
• Gwendollyn K Noble
• Raquel A. Nocon
• Shyyaann Noel
• Maligitupe Joscelyn Nofo, LPN
• David Grant Nogle, CDP
• Bryan Christopher Noirot

• 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 Oct 13, 2021; 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.