ALLEN PANASUK (NPI# 1326263609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326263609 |
| Entity Type | Individual |
| Full Name | ALLEN PANASUK |
| Credential | OD |
| Practice Address |
30 Raeburn Ct Port Ludlow WA 98365-9796 |
| Practice Telephone | 3604375128 |
| Mailing Telephone | 3604375128 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1173TX | WA | Eye and Vision Services Providers |
| Street Address |
30 RAEBURN CT |
| City | PORT LUDLOW |
| State | WA |
| Zip Code | 98365-9796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710166483 | John Benjamin Martin | Massage Therapist | 91 Village Way, Pt Ludlow, WA 98365 | 2007-10-30 |
| 1316134919 | Gerald T Brady Chiropractic Professional Corp | Chiropractor | 119 Village Way, Port Ludlow, WA 98365 | 2007-09-27 |
| 1386679777 | Lewis County Hospital District No. 1 | Internal Medicine | 521 Adams Avenue, Morton, WA 98365 | 2006-07-12 |
| 1790168680 | Lauren Corbett Mahan | Behavioral Analyst | 480 Montgomery Lane, Port Ludlow, WA 98365-8052 | 2015-07-09 |
| 1760647762 | Peter Ashley Philips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 161 N Bay Ln, #1, Port Ludlow, WA 98365-8224 | 2008-07-20 |
| 1538242540 | Michael David Leu | Naturopath | 2965 Paradise Bay Rd, Port Ludlow, WA 98365-8739 | 2006-10-23 |
| 1700869666 | Tracy Ross Gordy | Psychiatry & Neurology | 52 W Ludlow Point Rd, Port Ludlow, WA 98365-8786 | 2005-11-23 |
| 1356732937 | Mitzi Sturzu | Counselor | 117 Village Way, Port Ludlow, WA 98365-8792 | 2015-02-18 |
| 1548330483 | Gerald Thomas Brady | Chiropractor | 119 Village Way, Port Ludlow, WA 98365-8792 | 2006-11-08 |
| 1598105538 | Stephen P Porter, Dmd, Ps | Dentist | 9522 Oak Bay Rd, Ste 400, Port Ludlow, WA 98365-9202 | 2013-07-03 |
| Find all providers in zip 98365 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544101 | Destiny Nicole Mccoy | Optometrist | 19400 108th Ave Se Ste 202, Kent, WA 98031-0108 | 2020-09-25 |
| 1598370371 | Optometry Medical Group Inc | Optometrist | 1721 22nd Ave, Seattle, WA 98122-3324 | 2020-09-09 |
| 1962011320 | Kristine Marie Hackett | Optometrist | 19301 Se 34th St Ste 104, Camas, WA 98607-8881 | 2020-07-30 |
| 1245857044 | Minha Lee | Optometrist | 1468 158th Pl Ne, Bellevue, WA 98008-2782 | 2020-06-29 |
| 1437774734 | Vision Plus of Barkley Pllc | Optometrist | 2900 Woburn St Ste 101, Bellingham, WA 98226-3865 | 2020-06-11 |
| 1558985671 | Tiffany Lundberg | Optometrist | 2010 W Lincoln Ave Ste 1, Yakima, WA 98902-2413 | 2020-06-04 |
| 1801423041 | Jayeon Vision | Optometrist | 13909 Meridian E Ste A3, Puyallup, WA 98373-9180 | 2020-03-26 |
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1942832845 | Trinity Vision Pllc | Optometrist | 4750 N Division St Ste 282, Spokane, WA 99207-1433 | 2020-02-07 |
| 1104464536 | Washington Eyes, LLC | Optometrist | 5011 W Lowell Ave Ste 120, Spokane, WA 99208-8587 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
| City | PORT LUDLOW |
| Zip Code | 98365 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.