Katherine A Halgrimson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61076823 Issued in WA

Practice address

Sequim Vision Clinic
541 N 5TH Ave
Sequim, WA 98382

Phone

(360) 683-3389

Fax

(360) 683-7069

NPI assigned

Sep 8, 2010

Last updated

Jan 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Katherine A Stola Former name

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

Illinois College of Optometry at Chicago, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sequim Vision Clinic PSGroup PAC ID 3274421342, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sequim Vision Clinic PS

  • Optometrist
  • Sequim, WA
  • NPI 1700070158
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1700193067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SEQUIM VISION CLINIC",
            "address_2": "541 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "98382",
            "telephone_number": "360-683-3389",
            "fax_number": "360-683-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SEQUIM VISION CLINIC",
            "address_2": "541 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "98382",
            "telephone_number": "360-683-3389",
            "fax_number": "360-683-7069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3808 Spicewood Springs Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787598973",
            "country_code": "US",
            "telephone_number": "512-328-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALGRIMSON",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7658T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61076823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066900",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "STOLA",
            "middle_name": "A",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathi L. Gunn, ARNP F.N.P.BC
• Joe Clements Guthrie Jr., PT
• Timothy K Guthrie, MD
• Dale Hackney, RPH
• William Wallace Hagan, DPT
• Jennifer Lee Halpern, LMT
• Nancy Hamel, DC
• Harold G Everett, M.D, PLLC (Precision Optical)
• Harold R. Huff, D.P.M.
• William V Harrer III, M.D.

• Optometrist in Sequim, WA
• Providers in Sequim, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.