Jacob Fussell

Primary specialty

OpticianTaxonomy code 156FX1800X

License

OPT.DO.70174355 Issued in WA

Practice address

1965 S Union Ave
Tacoma, WA 98405-1017

Phone

(253) 414-9530

NPI assigned

Oct 16, 2026

Last updated

Oct 16, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1811893860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 14TH AVE SE APT B58",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032209",
            "telephone_number": "253-414-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051017",
            "telephone_number": "253-414-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSSELL",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "OPT.DO.70174355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catrina M. Funk, MD
• Brittany Furgason
• Philip K Furth, PA-C
• Corey Furulie, ARNP, RD
• Stephen M Fuson, DPM
• William Michael Futch, PA-C
• Anastasia Fyntrilakis, MD
• Gaaren Anderson LMFT, PLLC
• Jasmine Gabel
• Joshua Addison Gabel, M.D.

• Optician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.