Eye Clinic of Bremerton, Inc. P.S.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00031039 Issued in WA

Legal business name

EYE CLINIC OF BREMERTON, INC. P.S.

Practice address

3260 NW Mount Vintage Way
Silverdale, WA 98383-6000

Phone

(360) 698-9500

Fax

(360) 698-9900

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Paul A Kremer, MDNPI 1639170152

Title

President

Phone

(360) 307-7917

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Achieve Eye & Laser Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: dnakamoto@aels.intellechartdirect.net
• Direct secure messaging: mleen@aels.intellechartdirect.net
• Direct secure messaging: sbricel@aels.intellechartdirect.net
• Direct secure messaging: emartin@aels.intellechartdirect.net
• Direct secure messaging: pkremer@aels.intellechartdirect.net
• Direct secure messaging: djungschaffer@aels.intellechartdirect.net

Practitioners 7

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

• Paul A Kremer, MD

  • Ophthalmology Physician
  • Silverdale, WA
  • NPI 1639170152
  Medicare reassignment Care Compare group NPD Authorized official
• Dana Ann Jungschaffer, MD

  • Ophthalmology Physician
  • Bremerton, WA
  • NPI 1649359647
  Medicare reassignment Care Compare group NPD
• Kimber Marie Kenzli, OD

  • Optometrist
  • Silverdale, WA
  • NPI 1003477902
  Medicare reassignment Care Compare group NPD
• Martha Motuz Leen, MD

  • Ophthalmology Physician
  • Silverdale, WA
  • NPI 1093716458
  Medicare reassignment Care Compare group NPD
• Elizabeth A Martin, MD

  • Ophthalmology Physician
  • Silverdale, WA
  • NPI 1609219021
  Medicare reassignment Care Compare group NPD
• Deanne Michiko Nakamoto, MD

  • Ophthalmology Physician
  • Silverdale, WA
  • NPI 1609073345
  Medicare reassignment Care Compare group NPD
• Seth Jacob Bricel, M.D.

  • Ophthalmology Physician
  • Silverdale, WA
  • NPI 1437543410
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1831228311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 NW MOUNT VINTAGE WAY",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836000",
            "telephone_number": "360-698-9500",
            "fax_number": "360-698-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 NW MOUNT VINTAGE WAY",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836000",
            "telephone_number": "360-698-9500",
            "fax_number": "360-698-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CLINIC OF BREMERTON, INC. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "KREMER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-307-7917",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00031039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7053721",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "45019",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achieve Eye & Laser Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Patricia Essigmann, LMP
• Sandra E.D. Estrada, ARNP
• Emily Everett, DPT
• Evergreen Kitsap, L.L.C.
• Sarah Anne Eves
• Miranda Fabrega, DMD
• Douglas Fairbanks, L.D.O.
• Keith A Fairbanks, D.O.
• Mindy Ann Fairbanks, DO
• Denise C Fairchild

• Ophthalmology Physician in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.