Darren L Thorsen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3069TX Issued in WA

Practice address

1703 Pacific Ave S
Long Beach, WA 98631-3400

Phone

(360) 642-3214

Fax

(360) 642-5333

NPI assigned

Jun 9, 2005

Last updated

Oct 14, 2011By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

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 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Darren L Thorsen, ODGroup PAC ID 9739161902, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.06 of 100Reported as group

Quality

80.11

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: darren.thorsen@direct.revolutionehr.com

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.

• Darren L Thorsen, OD

  dba Coastal Eye Care, LLC

  • Optometrist
  • Long Beach, WA
  • NPI 1720204779
  Medicare reassignment NPD Authorized official
• Coastal Eyecare Tillamook LLC

  • Medical Specialty Clinic/Center
  • Tillamook, OR
  • NPI 1295210011
  Medicare reassignment Authorized official
• Darren L Thorsen OD

  dba Coastal Eye Care LLC

  • Optometrist
  • Seaside, OR
  • NPI 1164601878
  Medicare reassignment NPD
• Coastal Eye Care LLC

  • Optometrist
  • Astoria, OR
  • NPI 1992083653
  NPD (past)
• Tillamook Optometric Clinic

  • Optometrist
  • Tillamook, OR
  • NPI 1740546290
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1720082415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 PACIFIC AVE S",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986313400",
            "telephone_number": "360-642-3214",
            "fax_number": "360-642-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 PACIFIC AVE S",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986313400",
            "telephone_number": "360-642-3214",
            "fax_number": "360-642-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSEN",
        "first_name": "DARREN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3069TX",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2483T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046289",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022549",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Long Beach, WA
• Providers in Long Beach, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.