Individual provider Active NPI

Gregory Thomas Sankey

  • Ocularist
  • Seattle, WA
National Provider Identifier
1700995461
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
License
OS00000012 Issued in WA
Practice address
10212 5TH Ave NE
Suite 210
Seattle, WA 98125-7452
Phone
(206) 522-4222
Fax
(206) 525-1496
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ocularist 156FX1700X OS00000012 WA Primary

Addresses

Primary practice location

10212 5TH Ave NE
Suite 210
Seattle, WA 98125-7452

Mailing address

10212 5TH Ave NE
Suite 210
Seattle, WA 98125-7452
Phone (206) 522-4222

Other identifiers 8

IdentifierTypeStateIssuer
37189OtherWALABOR & INDUSTRY PROVIDER
PO4547MedicaidAK
344581001OtherWAGROUP HEALTH COOP
PO45471OtherAKALASKA MEDICAID #
9033929MedicaidWA
911508025OtherWAFEDERAL TAX ID#
8917595OtherWACRIME VICTIMS
CU0117OtherWAREGENCE PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930052008 WA DME Supplier - Ocularist 9739207564 Practice locations: Seattle, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OS00000012WAMDOcularist

Practice roles

OrganizationSpecialtyStatusNew patients
Custom Ocular Prosthetics LLC Ocularist Current Accepting new patients

Locations

10212 5th Ave NE
Ste 210
Seattle, WA 98125
Phone (206) 522-4222

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1700995461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 5TH AVE NE",
            "address_2": "SUITE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257452",
            "telephone_number": "206-522-4222",
            "fax_number": "206-525-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 5TH AVE NE",
            "address_2": "SUITE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257452",
            "telephone_number": "206-522-4222",
            "fax_number": "206-525-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKEY",
        "first_name": "GREGORY",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ocularist",
            "state": "WA",
            "license": "OS00000012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY PROVIDER",
            "identifier": "37189",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO4547",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH COOP",
            "identifier": "344581001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALASKA MEDICAID #",
            "identifier": "PO45471",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9033929",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID#",
            "identifier": "911508025",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8917595",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PROVIDER #",
            "identifier": "CU0117",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.