Professional Vision Services, PS

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

1349 Issued in WA

Legal business name

PROFESSIONAL VISION SERVICES, PS

Doing business as

Pacific Vision

Practice address

4620 Pacific Ave
Tacoma, WA 98408-7738

Phone

(253) 473-3443

Fax

(253) 473-7127

NPI assigned

Nov 9, 2005

Last updated

Apr 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

Dr. Harold L. Bircumshaw, ODNPI 1679592190

Title

President

Phone

(253) 473-3443

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Pacific Vision Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harold L. Bircumshaw, O.D.

  • Corneal and Contact Management Optometrist
  • Tacoma, WA
  • NPI 1679592190
  Authorized official Same address or phone

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1770564445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087738",
            "telephone_number": "253-473-3443",
            "fax_number": "253-473-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087738",
            "telephone_number": "253-473-3443",
            "fax_number": "253-473-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL VISION SERVICES, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "BIRCUMSHAW",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-473-3443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "1349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF DISABILITY INSURANCE",
            "identifier": "209-783",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS VENDOR",
            "identifier": "1203680",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBN",
            "identifier": "WA0179",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I WORKERS COMP",
            "identifier": "482,107-02",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "61722",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "BI 0008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8878811",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "W912748",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Corneal and Contact Management Optometrist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Corneal and Contact Management Optometrist in Washington

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