Organization Active NPI

Gig Harbor Vision Center PS

  • Optometrist
  • Gig Harbor, WA
National Provider Identifier
1932287869
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GIG HARBOR VISION CENTER PS
Practice address
3220 Uddenberg LN Ste 5
Gig Harbor, WA 98335-5128
Phone
(253) 851-2020
Fax
(253) 851-7135
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Constance L Worthen
Title
Corporate Secretary
Phone
(253) 851-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3220 Uddenberg LN Ste 5
Gig Harbor, WA 98335-5128

Mailing address

PO Box 2020
Gig Harbor, WA 98335-4020
Phone (253) 851-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040226000008 WA Part B Supplier - Clinic/Group Practice 9032005004 Receives reassigned benefits from 1 practitioner
Practice locations: Gig Harbor, WA

National Provider Directory

National Provider Directory

Locations

3220 Uddenberg Ln
Gig Harbor, WA 98335
Phone (253) 851-2020

3220 Uddenberg Ln
Ste 5
Gig Harbor, WA 98335
Phone (253) 851-2020

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1932287869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2020",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983354020",
            "telephone_number": "253-851-2020",
            "fax_number": "253-851-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 UDDENBERG LN STE 5",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355128",
            "telephone_number": "253-851-2020",
            "fax_number": "253-851-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIG HARBOR VISION CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WORTHEN",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "253-851-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 Mar 7, 2023; 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.