Individual provider Active NPI

Paul Daniel Stromstad, LDO

  • Optician
  • Gig Harbor, WA
National Provider Identifier
1891943676
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
0433 Issued in WA
Practice address
4918 Point Fosdick Drive N.W.
Harbor Optical
Gig Harbor, WA 98335-1713
Phone
(253) 851-7895
Fax
(253) 851-7896
NPI assigned
Sep 4, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 0433 WA Primary

Addresses

Primary practice location

4918 Point Fosdick Drive N.W.
Harbor Optical
Gig Harbor, WA 98335-1713

Mailing address

4918 Point Fosdick Drive N.W.
Harbor Optical
Gig Harbor, WA 98335-1713
Phone (253) 851-7895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0433WAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1891943676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 POINT FOSDICK DRIVE N.W.",
            "address_2": "HARBOR OPTICAL",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351713",
            "telephone_number": "253-851-7895",
            "fax_number": "253-851-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4918 POINT FOSDICK DRIVE N.W.",
            "address_2": "HARBOR OPTICAL",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351713",
            "telephone_number": "253-851-7895",
            "fax_number": "253-851-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROMSTAD",
        "first_name": "PAUL",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "0433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.