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PROFESSIONAL VISION SERVICES PS NPI 1770564445


NPI Information

NPI: 1770564445
Provider Name: PROFESSIONAL VISION SERVICES, PS

Doing Business As: PACIFIC VISION

Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
4620 PACIFIC AVE
TACOMA, WA
ZIP 98408
Phone: (253) 473-3443
Get Directions

PROFESSIONAL VISION SERVICES, PS is a corneal and contact management optometrist in Tacoma, WA. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. PROFESSIONAL VISION SERVICES, PS NPI is 1770564445. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pacific Vision.

The provider's business location address is:

4620 PACIFIC AVE
TACOMA, WA
ZIP 98408-738
Phone: (253) 473-3443
Fax: (253) 473-7127

The provider's authorized official is Harold L. Bircumshaw .
The authorized official title is President and has the following contact phone number (253) 473-3443.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 4/3/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact Management1349WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11203680OTHERWASHINGTONDSHS VENDOR
2209-783OTHERWASHINGTONOFFICE OF DISABILITY INSURANCE
3WA0179OTHERNBN
4482,107-02OTHERWASHINGTONL & I WORKERS COMP
5GAB 04232MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONMIDICARE NUMBER
6W912748OTHERWASHINGTONCHAMPUS
761722OTHERWASHINGTONSPECTERA
8TO 2664MEDICARE UPINWASHINGTON
9BI 0008OTHERREGENCE BLUE SHIELD
10408872MEDICARE NSCWASHINGTON
11G8878811OTHERWASHINGTONMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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