DR. HAROLD L. BIRCUMSHAW (NPI# 1679592190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679592190 |
| Entity Type | Individual |
| Full Name | DR. HAROLD L. BIRCUMSHAW |
| Credential | O.D. |
| Practice Address |
4620 Pacific Ave Tacoma WA 98408-7738 |
| Practice Telephone | 2534733443 |
| Practice Fax Number | 2534737127 |
| Mailing Telephone | 2534733443 |
| Mailing Fax Number | 2534737127 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1349 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | DSHS VENDOR | 1203680 | 01 |
| WA | NBN | WA0179 | 01 |
| WA | OFFICE OF DISABILITY INSURANCE | 209-783 | 01 |
| WA | DAVIS VISION | 2264 | 01 |
| WA | SPECTERA | 61722 | 01 |
| WA | EPDB | 4595135 | 01 |
| WA | REGENCE BLUE SHIELD | BI 0008 | 01 |
| WA | MEDICARE PTAN | G8878811 | 01 |
| WA | L & I WORKERS COMP | 482,107-02 | 01 |
| Street Address |
4620 PACIFIC AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98408-7738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770564445 | Professional Vision Services, Ps | Optometrist | 4620 Pacific Ave, Tacoma, WA 98408-7738 | 2005-11-09 |
| 1124331558 | Sightcare, Inc | Clinic/Center | 4620 Pacific Ave, Tacoma, WA 98408-7738 | 2010-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839597 | Michael David Clifton | Chiropractor | 1702 South 72nd Street, Tacoma, WA 98408 | 2017-09-05 |
| 1417405630 | Ashley Mae Grosso | Licensed Practical Nurse | 7011 S I St, Tacoma, WA 98408 | 2016-09-16 |
| 1568845188 | Carolyn M Jacoby | Social Worker | 4850 S Thompson Ave, Tacoma, WA 98408 | 2015-06-30 |
| 1265844385 | Kaitlyn Leigh Laube Ward | Podiatrist | 7808 Pacific Ave Ste 1, Tacoma, WA 98408 | 2014-05-22 |
| 1720315872 | Holly A Roach | Specialist | 414 So. 54th St., Tacoma, WA 98408 | 2009-11-11 |
| 1831328731 | Frederick Joseph Norrick Jr. | Massage Therapist | 5001 Pacific Avenue S, Integrative Body Therapeutics, Gibson Gardens Suite 422, Tacoma, WA 98408 | 2009-07-13 |
| 1528198264 | Susan Joline Henricksen | Massage Therapist | 6618 So L St, Tacoma, WA 98408 | 2007-03-06 |
| 1043364565 | Dawn Michelle Catlow | Massage Therapist | 6201 Pacific Avenue, Tacoma, WA 98408 | 2007-01-22 |
| 1538223227 | Joshua Bleustar | Counselor | 860 South 54th St, Tacoma, WA 98408 | 2006-12-20 |
| 1235291055 | Leonardo F Romero | Chiropractor | 7047 S D St., Ste. B, Tacoma, WA 98408 | 2006-12-15 |
| Find all providers in zip 98408 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| 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. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447363296 | Eyes Rite Eyecare, Inc. | Optometrist | 5003 Tacoma Mall Blvd, #102, Tacoma, WA 98409-7120 | 2006-08-16 |
| 1194745729 | Dana Anthony Cocke | Optometrist | 5003 Tacoma Mall Blvd Ste 102, Tacoma, WA 98409-7120 | 2006-07-19 |
| 1770564445 | Professional Vision Services, Ps | Optometrist | 4620 Pacific Ave, Tacoma, WA 98408-7738 | 2005-11-09 |
| 1134263726 | Richard A Ewing | Optometrist | 5821 Sprague Ct, Tacoma, WA 98409 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639314206 | Vision Clinic Inc | Optometrist | 4008 Lovell Rd, Wenatchee, WA 98801 | 2008-12-10 |
| 1689857690 | Mayemura, Inc. | Optometrist | 9610 Evergreen Way, Ste. A, Everett, WA 98204-7102 | 2007-12-12 |
| 1023221132 | Cindy Hung | Optometrist | 407 Baker Blvd, Tukwila, WA 98188-2906 | 2007-05-07 |
| 1316164965 | Scott David Hansen Od PC | Optometrist | 12120 E Mission Ave Ste 2, Spokane Valley, WA 99206-5378 | 2007-04-18 |
| 1689898777 | Eyecare Partners, Pllc | Optometrist | 126 E Second Street, North Bend, WA 98045 | 2007-04-12 |
| 1831212851 | John A Harden | Optometrist | 16821 Smokey Point Blvd # 314, Arlington, WA 98223-8407 | 2007-04-06 |
| 1811023732 | Longview Eye & Vision | Optometrist | 180 3rd Street, Cathlamet, WA 98612 | 2007-02-26 |
| 1245365519 | Joseph Wallace Braun | Optometrist | 4750 N Division St Ste 126, Northtown Vision Clinic, Spokane, WA 99207-1406 | 2007-02-23 |
| 1114078235 | Jaclyn T Phan | Optometrist | 1912 201st Pl Se, Suite 204, Bothell, WA 98012-8570 | 2007-01-16 |
| 1396807947 | Lisa Ann Depietto | Optometrist | 15118 Main St, Suite 600, Mill Creek, WA 98012-1653 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
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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.