Darren L Thorsen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3069 Issued in WA

Legal business name

DARREN L THORSEN, OD

Practice address

1703 South Pacific Ave
Long Beach, WA 98631

Phone

(360) 642-3214

Fax

(360) 642-5333

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Darren L Thorsen, O.D.NPI 1720082415

Title

Optometrist

Phone

(360) 642-3214

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Coastal Eye Care, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Darren L Thorsen OD

  • Optometrist
  • Seaside, OR
  • NPI 1164601878

  9739161902

  Same PAC ID

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

Medicare medical equipment & supply locations

Tax ID family

Coastal Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Eye Care LLC

  • Optometrist
  • Astoria, OR
  • NPI 1992083653
  NPD tax ID

Locations

Practitioners 6

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

• Darren L Thorsen, O.D.

  • Optometrist
  • Long Beach, WA
  • NPI 1720082415
  Medicare reassignment Care Compare group NPD Authorized official
• Kate Nicole Stubbs, OD

  • Optometrist
  • Astoria, OR
  • NPI 1912749557

  Optometrist, WA

  Medicare reassignment Care Compare group NPD
• Kyle Thompson, OD

  • Optometrist
  • Astoria, OR
  • NPI 1124691779

  Optometrist, WA

  Medicare reassignment Care Compare group NPD
• Katelyn Powers, O.D.

  • Optometrist
  • Astoria, OR
  • NPI 1194278382

  Optometrist, WA

  Medicare reassignment NPD
• Nina M Nemetz, OD

  • Optometrist
  • Waikoloa, HI
  • NPI 1003080516

  WA

  Medicare reassignment
• Katerina Ann Tomlinson Coontz, OD

  • Optometrist
  • Tigard, OR
  • NPI 1740858737
  NPD

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1720204779",
    "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 SOUTH PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "98631",
            "telephone_number": "360-642-3214",
            "fax_number": "360-642-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREN L THORSEN, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "THORSEN",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "360-642-3214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022549",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD2653",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Eye Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David R Cundiff, M.D.
• Carla Jean D'Amato, AAC
• Brian Clay Dadiw, MA
• Daniel Danielson
• Janet Darcher
• Tara Dockery
• Joy N Douglas, LPN
• Suzan Lynn Dula, PSYD, PA-C
• Carol Pauline Dunning, LICSW
• Ariel Eaton

• All providers in Long Beach, WA
• 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.
• 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.