PACIFIC EYECARE OF PAULSBO PS (NPI# 1386633345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386633345 |
| Entity Type | Organization |
| Organization Name | PACIFIC EYECARE OF PAULSBO PS |
| Other Organization Name | PACIFIC OPTICAL |
| Practice Address |
10049 Kitsap Mall Blvd Nw Ste 109 Silverdale WA 98383-8903 |
| Mailing Address |
20669 Bond Rd Ne Ste 100 Poulsbo WA 98370-6525 |
| Practice Telephone | 3606983937 |
| Practice Fax Number | 3606989882 |
| Mailing Telephone | 3607792020 |
| Mailing Fax Number | 3607793093 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | DAVID JC OMOVCHOC (OWNER) |
| Authorized Official Telephone | 3607792020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | MD00029555 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2025633 | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Optical | Doing Business As Name - Organization |
| Street Address |
10049 KITSAP MALL BLVD NW STE 109 |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98383-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801065040 | Kitsap Podiatry Pllc | Podiatrist | 10049 Kitsap Mall Blvd Nw, Suite 109, Silverdale, WA 98383-8903 | 2008-02-21 |
| 1134326283 | Ryan Ross Downey | Podiatrist | 10049 Kitsap Mall Blvd Nw, Suite 109, Silverdale, WA 98383-8903 | 2007-07-02 |
| 1811198542 | Allergy Asthma & Sinus Care Center Ps | Specialist | 10049 Kitsap Mall Blvd Nw, 265, Silverdale, WA 98383-8903 | 2007-05-30 |
| 1740320118 | Steven David Powell | Marriage & Family Therapist | 10049 Kitsap Mall Blvd Nw, Ste. 203, Silverdale, WA 98383-8903 | 2007-02-07 |
| 1730260241 | Paul W Aufderheide | Podiatrist | 10049 Kitsap Mall Blvd Nw, Suite 109, Silverdale, WA 98383-8903 | 2006-10-18 |
| 1316037302 | Pacific Counseling Clinic, Inc. | Marriage & Family Therapist | 10049 Kitsap Mall Blvd Nw, Ste. 203, Silverdale, WA 98383-8903 | 2006-10-13 |
| 1770539686 | Shannon H Mckee | Social Worker | 10049 Kitsap Mall Blvd Nw, Suite 203, Silverdale, WA 98383-8903 | 2006-05-25 |
| 1548247067 | Filiz Millik | Allergy & Immunology | 10049 Kitsap Mall Blvd Nw, Ste# 265, Silverdale, WA 98383-8903 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
| 1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
| 1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
| 1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
| 1295108694 | Washington Dental Corporation | Dentist | 11065 Pacific Crest Place Nw, Suite B-105, Silverdale, WA 98383 | 2015-11-06 |
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
| 1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
| 1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
| 1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
| Find all providers in zip 98383 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417011545 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 9990 Mickleberry Rd Nw, Costco Plaza, Silverdale, WA 98383-8531 | 2006-12-21 |
| 1669545075 | Kitsap Optical Inc | Eyewear Supplier (Equipment, not the service) | 3260 N.w. Mount Vintage Way, Su, Silverdale, WA 98383 | 2006-11-15 |
| 1780775817 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 10315 Silverdale Way Nw Ste A09, Silverdale, WA 98383-7690 | 2006-09-27 |
| 1356732564 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10000 Mickelberry Rd Nw, Silverdale, WA 98383-8302 | 2015-02-10 |
| 1427482413 | Pro-optix, LLC | Eyewear Supplier (Equipment, not the service) | 10315 Silverdale Way Nw, Unit # K-7, Silverdale, WA 98383-7670 | 2013-08-26 |
| 1124175989 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 10315 Silverdale Way Nw, Kitsap Mall, Silverdale, WA 98383-7670 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004477 | The Vancouver Clinic Inc Ps | Eyewear Supplier (Equipment, not the service) | 2 S 56th Pl Ste 205, Ridgefield, WA 98642-3427 | 2020-05-15 |
| 1619514825 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 11111 Ne 8th St Ste 147, Bellevue, WA 98004-4489 | 2019-12-06 |
| 1790341675 | Zachary Robert Cooper | Eyewear Supplier (Equipment, not the service) | 301 Queen Anne Ave N # 506, Seattle, WA 98109-4513 | 2019-05-15 |
| 1235795626 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1052 Springwater Ave, Wenatchee, WA 98801-1546 | 2019-05-12 |
| 1154987535 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9326 N Division St, Spokane, WA 99218-1227 | 2019-05-11 |
| 1699331074 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2529 Main St Ste P6-a, Union Gap, WA 98903-1690 | 2019-05-11 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1437648508 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 4502 S Steele St Ste 700, Tacoma, WA 98409-7224 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1457860702 | Visionpros Usa Inc | Eyewear Supplier (Equipment, not the service) | 1750 Grant Ave, Blaine, WA 98230-5155 | 2017-09-28 |
| Find all providers with the same taxonomy | ||||
| City | SILVERDALE |
| Zip Code | 98383 |
Please comment or provide details below to improve the information on PACIFIC EYECARE OF PAULSBO PS.
| 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.