David O. Schores OD Inc PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001571 Issued in WA

Legal business name

DAVID O. SCHORES OD INC PS

Practice address

150 Chimacum Rd
Port Hadlock, WA 98339-9774

Phone

(360) 385-1093

Fax

(360) 385-6843

NPI assigned

May 26, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Sam Long

Title

Accounts MGR

Phone

(360) 385-1093

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• David O Schores, O.D.

  • Optometrist
  • Port Hadlock, WA
  • NPI 1467542985

  O20100930090278

  Same enrollment

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

Locations

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1801115191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CHIMACUM ROAD",
            "address_2": "PO BOX 357",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983399774",
            "telephone_number": "360-385-1093",
            "fax_number": "360-385-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CHIMACUM RD",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983399774",
            "telephone_number": "360-385-1093",
            "fax_number": "360-385-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID O. SCHORES OD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "ACCOUNTS MGR",
        "authorized_official_telephone_number": "360-385-1093",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER NPI",
            "identifier": "1467542985",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DQ2827",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER PTAN",
            "identifier": "G8891340",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING PROVIDER NPI",
            "identifier": "1801115191",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011175",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING PROVIDER PTAN",
            "identifier": "G000200362",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy Brinton, ND
• Mary Angelee Limocon Brown, RDN
• Renee Collier, LMP
• Margaret Starr Corley, LMP
• Michael Dam, D.C.
• Jeanine Marie Davis, LMHCA
• Dentistry Northwest
• Dirksen Physical Therapy Inc PS
• Jeanne A Dirksen, PT
• Discovery Physical Therapy Inc., P.S.

• Optometrist in Port Hadlock, WA
• Providers in Port Hadlock, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.