Organization Active NPI

Sound Retina PS

  • Specialist
  • Tacoma, WA
National Provider Identifier
1700117116
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUND RETINA PS
Practice address
2245 S 19TH St
#200
Tacoma, WA 98405-2945
Phone
(253) 572-1444
Fax
(253) 830-2528
NPI assigned
Jan 25, 2010
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Anthony R Truxal, MDNPI 1508817594
Title
President
Phone
(253) 572-1444

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)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2245 S 19TH St
#200
Tacoma, WA 98405-2945

Mailing address

2245 S 19TH St
#200
Tacoma, WA 98405-2945
Phone (253) 572-1444

Other identifiers 1

IdentifierTypeStateIssuer
G8895605OtherWAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101202000667 WA Part B Supplier - Clinic/Group Practice 5193911170 Receives reassigned benefits from 6 practitioners
Practice locations: Kennewick, WA; Tacoma, WA; Olympia, WA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2279312Sound Retina PS2245 S 19TH St Ste 200, Tacoma, WA 98405Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

7516 W Deschutes Pl
Kennewick, WA 99336
Phone (509) 596-0952

7516 W Deschutes Pl
Ste B
Kennewick, WA 99336
Phone (509) 735-0826

3620 Ensign Rd NE
Ste B
Olympia, WA 98506
Phone (360) 878-8906

3773 Martin Way E
#101
Olympia, WA 98506
Phone (360) 878-8906

3773 Martin Way E
Ste 101
Olympia, WA 98506

2245 S 19th St
Tacoma, WA 98405
Phone (253) 572-1444

2245 S 19th St
#200
Tacoma, WA 98405
Phone (253) 572-1444

Interoperability endpoints

  • Direct secure messaging: atruxal@soundretina.intellechartdirect.net
  • Direct secure messaging: jlight@soundretina.intellechartdirect.net
  • Direct secure messaging: kfung@soundretina.intellechartdirect.net
  • Direct secure messaging: masano@soundretina.intellechartdirect.net
  • Direct secure messaging: mnelson@soundretina.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1700117116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 S 19TH ST",
            "address_2": "#200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052945",
            "telephone_number": "253-572-1444",
            "fax_number": "253-830-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 S 19TH ST",
            "address_2": "#200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052945",
            "telephone_number": "253-572-1444",
            "fax_number": "253-830-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND RETINA PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "TRUXAL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-572-1444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G8895605",
            "state": "WA"
        }
    ],
    "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 Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.