Organization Active NPI

South Sound Eye Care

  • Point of Service
  • Tacoma, WA
National Provider Identifier
1891194718
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
OD00003834 Issued in WA
Legal business name
SOUTH SOUND EYE CARE
Practice address
4502 S Steele St
Suite 304 B
Tacoma, WA 98409-7242
Phone
(253) 475-3937
Fax
(855) 664-7324
NPI assigned
Aug 15, 2014
Last updated
Dec 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Dr. Gregory Thomas Greer, O.D.NPI 1184626301
Title
Owner
Phone
(253) 475-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X OD00003834 WA Primary

Addresses

Primary practice location

4502 S Steele St
Suite 304 B
Tacoma, WA 98409-7242

Mailing address

4502 S Steele St
Suite 304 B
Tacoma, WA 98409-7242
Phone (253) 475-3937

Other identifiers 2

IdentifierTypeStateIssuer
2029411MedicaidWA
2029429MedicaidWA

National Provider Directory

National Provider Directory

Locations

4502 S Steele St
Ste 304B
Tacoma, WA 98409
Phone (253) 472-6465

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1891194718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 S STEELE ST",
            "address_2": "SUITE 304 B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097242",
            "telephone_number": "253-475-3937",
            "fax_number": "855-664-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 S STEELE ST",
            "address_2": "SUITE 304 B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097242",
            "telephone_number": "253-475-3937",
            "fax_number": "855-664-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-475-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WA",
            "license": "OD00003834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029411",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029429",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.