Olympic Peaks Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

0025209MD0003187 Issued in WA

Legal business name

OLYMPIC PEAKS OPTICAL

Practice address

1740 Pottery Ave
Suite 100
Port Orchard, WA 98366

Phone

(360) 895-0847

Fax

(360) 876-5771

NPI assigned

Jun 6, 2007

Last updated

Jan 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dale Norman Holdren, MD

Title

Owner

Phone

(360) 377-3703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1740483056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-377-3703",
            "fax_number": "360-377-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 POTTERY AVE",
            "address_2": "SUITE 100",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-895-0847",
            "fax_number": "360-876-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC PEAKS OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "HOLDREN",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-377-3703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "0025209MD0003187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Christine Oleachea
• Anastasia S Oleinikov, LMP
• Deborah Christine Olin, CDPT
• Melissa Olsen
• Patrick D Olsen, ATC
• Olympic Peninsula Kidney Center (Olympic Peninsula Kidney Center South)
• Olympic Surgical Associates
• Laurie Ann Oneill, M.D.
• Taylor Orcutt
• Olga Osborn, LMP

• Eyewear Supplier in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.