David B Souza

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DAVID B SOUZA

Practice address

2317 SW 320TH St
Federal Way, WA 98023-2567

Phone

(253) 839-3622

Fax

(253) 952-3596

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Laurie Margaret Maio

Title

Office Manager

Phone

(253) 839-3622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Twin Lakes Vision Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leigh Ann Mast, O.D.

  • Optometrist
  • Federal Way, WA
  • NPI 1689939456
  NPD (past)
• David B Souza, OD

  • Optometrist
  • Federal Way, WA
  • NPI 1811904964
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720132111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 SW 320TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232567",
            "telephone_number": "253-839-3622",
            "fax_number": "253-952-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 SW 320TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232567",
            "telephone_number": "253-839-3622",
            "fax_number": "253-952-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B SOUZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAIO",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-839-3622"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2870806",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Lakes Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samhar Daoud, LICSWA
• Biji Das, CCC-SLP
• Dashpoint Family Dental Inc.
• Patricia Anne Dass
• Ellyssa Daum, PSYD
• David C. Mace, DDS PLLC
• David R Dawson Orthopaedic Surgeon
• Michael S Davidov, MD
• Jennifer A Davies
• Irene Davila-Wittrock, DPT

• Optometrist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.