MR. GARY BUHRMESTER MATTIX (NPI# 1396968913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396968913 |
| Entity Type | Individual |
| Full Name | MR. GARY BUHRMESTER MATTIX |
| Credential | LDO |
| Practice Address |
700 Sleater Kinney Rd Se Suite E Lacey WA 98503-1113 |
| Practice Telephone | 3604389458 |
| Practice Fax Number | 3604388902 |
| Mailing Telephone | 3604389458 |
| Mailing Fax Number | 3604388902 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
398 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2009124 | 05 |
| Street Address |
700 SLEATER KINNEY RD SE SUITE E |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699712240 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 700 Sleater Kinney Rd Se, Suite B, Lacey, WA 98503-1150 | 2006-06-01 |
| 1447725064 | Hoang Vy Ha | Optometrist | 700 Sleater Kinney Rd Se, Lacey, WA 98503 | 2018-10-10 |
| 1447775978 | Benjamin Jacob Harrietha | Pharmacist | 700 Sleater Kinney Rd Se, Lacey, WA 98503-1150 | 2017-08-05 |
| 1801205398 | Brittany T Dodge | Pharmacist | 700 Sleater Kinney Rd Se, Lacey, WA 98503-1150 | 2014-08-08 |
| 1215285556 | Craig William Shelley | Pharmacist | 700 Sleater Kinney Rd Se, Lacey, WA 98503-1150 | 2012-08-16 |
| 1811260912 | Vijay Kaza | Pharmacist | 700 Sleater Kinney Rd Se, Pharmacy, Lacey, WA 98503-1150 | 2012-02-21 |
| 1700098050 | Max Kenneth Archer | Optometrist | 700 Sleater Kinney Rd Se, Suite 1, Lacey, WA 98503-1150 | 2007-05-07 |
| 1801839725 | Mark S Mathews | Physician Assistant | 700 Sleater Kinney Rd Se, Pmb 254, Lacey, WA 98503-1150 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508032236 | Americas Best Contacts & Eyeglasses | Technician/Technologist | 1200 Galaxy Drive, Suite 3, Lacey, WA 98516 | 2008-05-02 |
| 1104907146 | Wal-mart Stores, Inc | Technician/Technologist | 1401 Galaxy Dr Ne, Lacey, WA 98516-4746 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358424 | Amy King | Technician/Technologist | 111 E North Bend Way Ste A, North Bend, WA 98045-8152 | 2020-02-14 |
| 1477115863 | Nicole Ann Hanby | Technician/Technologist | 4325 University Way Ne, Seattle, WA 98105-5808 | 2019-07-05 |
| 1033772629 | Margaret Wilder Burke | Technician/Technologist | 2718 Patton St, Bellingham, WA 98225-1545 | 2019-04-18 |
| 1750846093 | Rebecca E Doherty | Technician/Technologist | 216 E 5th St Ste A, Port Angeles, WA 98362-3008 | 2019-01-31 |
| 1538641535 | Rebecca Swislow | Technician/Technologist | 20627 59th Dr Ne, Arlington, WA 98223-8287 | 2018-09-05 |
| 1588143986 | Robin Nordlum | Technician/Technologist | 814 Ne 123rd Ave, Vancouver, WA 98684-5842 | 2018-08-07 |
| 1174016943 | National Vision, Inc. | Technician/Technologist | 15015 Main St Ste 104, Bellevue, WA 98007-5229 | 2018-06-07 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1295181626 | Lisa D Henry | Technician/Technologist | 620 Se Everett Mall Way Ste 320, Everett, WA 98208-3279 | 2016-05-04 |
| 1104285311 | Rachel Crites | Technician/Technologist | 317 N Pearl St, Ellensburg, WA 98926-3363 | 2016-02-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. GARY BUHRMESTER MATTIX.
| 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.