Organization Active NPI

David Gaimari OD PS

Doing business as North Spokane Eye Care

  • Clinic/Center
  • Spokane, WA
National Provider Identifier
1992130678
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
00003794 Issued in WA
Legal business name
DAVID GAIMARI OD PS
Doing business as
North Spokane Eye Care
Practice address
318 E Rowan Ave Ste 207
Spokane, WA 99207-1200
Phone
(509) 487-5456
Fax
(509) 484-0082
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
David William Shurtz, ODNPI 1316453053
Title
Owner
Phone
(509) 487-5456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 00003794 WA Primary

Addresses

Primary practice location

318 E Rowan Ave Ste 207
Spokane, WA 99207-1200

Mailing address

318 E Rowan Ave Ste 207
Spokane, WA 99207-1200
Phone (509) 487-5456

Other identifiers 1

IdentifierTypeStateIssuer
1022667MedicaidWA

Other names 1

  • North Spokane Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227001829 WA Part B Supplier - Clinic/Group Practice 6800020041 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

318 E Rowan Ave
Ste 207
Spokane, WA 99207
Phone (509) 487-5456

Practitioners & affiliated clinicians

Practitioners 1

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": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1992130678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E ROWAN AVE STE 207",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071200",
            "telephone_number": "509-487-5456",
            "fax_number": "509-484-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E ROWAN AVE STE 207",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071200",
            "telephone_number": "509-487-5456",
            "fax_number": "509-484-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GAIMARI OD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "SHURTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-487-5456",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "00003794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022667",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Spokane Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.