DR. BRUCE DOUGLAS NOONAN (NPI# 1902124472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902124472 |
| Entity Type | Individual |
| Full Name | DR. BRUCE DOUGLAS NOONAN |
| Credential | M.D. |
| Practice Address |
4727 Bluff Dr Ne Moses Lake WA 98837-9075 |
| Practice Telephone | 5097666335 |
| Practice Fax Number | 5097666335 |
| Mailing Telephone | 5097666335 |
| Mailing Fax Number | 5097666335 |
| Enumeration Date | 2010-05-08 |
| Last Update Date | 2010-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 8830 | OR | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | MD00012647 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
4727 BLUFF DR NE |
| City | MOSES LAKE |
| State | WA |
| Zip Code | 98837-9075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316447097 | Lateef Ajani Olaniyan | Pharmacist | 2709 W Broadway Avenue, Southgate Pharmacy, Moses Lake, WA 98837 | 2018-02-19 |
| 1982117651 | Amanda M Cross | Massage Therapist | 2200 S. Maiers Rd., Suite B, Moses Lake, WA 98837 | 2017-11-15 |
| 1962928200 | E & H Holdings, LLC | Family Medicine | 708 E Penn St, Moses Lake, WA 98837 | 2017-08-18 |
| 1912366881 | Tara L Zamarron | Nurse Practitioner | 1550 S. Pioneer Way, Samaritan Family Physicians, Moses Lake, WA 98837 | 2016-02-19 |
| 1124401732 | Christian Mmadibuobu Okafor | Dentist | 605 South Coolidge Street, Moses Lake Community Health Center, Moses Lake, WA 98837 | 2015-06-30 |
| 1790182004 | Tari Ann Devaney | Dental Hygienist | 605 Coolidge Drive, Moses Lake, WA 98837 | 2014-12-02 |
| 1356746150 | Anna Marie Peterson | Counselor | 814 S. Wilder St., Moses Lake, WA 98837 | 2014-10-23 |
| 1699119495 | Geoffrey T. Ping D.d.s. and Asia Dela Cruz D.d.s. Pllc | Dentist | 800 N. Stratford Rd., Moses Lake, WA 98837 | 2013-04-23 |
| 1831433325 | George Kenyon Exeter | Physical Therapy Assistant | 817 E Plum Ave, Moses Lake, WA 98837 | 2012-11-21 |
| 1114219698 | Sound Oxygen Service Inc | Durable Medical Equipment & Medical Supplies | 1010 S Pioneer Way Ste C, Moses Lake, WA 98837 | 2011-05-03 |
| Find all providers in zip 98837 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273889 | Brian P. Roth | Ophthalmology | 1022 W Ivy Ave, Moses Lake, WA 98837-4107 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991208 | N W Eye Surgeons P C | Ophthalmology | 1221 Madison St Ste 1415, Seattle, WA 98104-1360 | 2020-01-22 |
| 1235628579 | Eyecare Partners, Pllc | Ophthalmology | 22620 Se 4th St Ste 110, Sammamish, WA 98074-7375 | 2018-05-02 |
| 1104325794 | North Cascade Eye Associates Ps | Ophthalmology | 3115 Old Fairhaven Pkwy, Bellingham, WA 98225-8266 | 2018-02-08 |
| 1104355155 | Richard Lee Harman | Ophthalmology | 10101 270th St. Nw, #195, Stanwood, WA 98292 | 2017-06-05 |
| 1427583335 | Burien Medical Eye Care, LLC | Ophthalmology | 13512 Ambaum Blvd Sw Fl 3, Burien, WA 98146-3244 | 2017-04-28 |
| 1013304328 | Parker Faith | Ophthalmology | 3999 Englewood Ave Ste 101, Yakima, WA 98902-6341 | 2015-04-24 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1740689728 | Don Pearson | Ophthalmology | 6708 Bridgeport Way W, Lakewood, WA 98499-8115 | 2014-08-15 |
| 1548600372 | Dong-wouk Park | Ophthalmology | 600 Triangle Shopping Ctr Ste 400, Longview, WA 98632-4677 | 2013-06-25 |
| 1073951240 | Maxine Amy Harvey | Ophthalmology | 9040 Jackson Ave Madigan Army Medical Ctr, Tacoma, WA 98431-4504 | 2013-06-11 |
| Find all providers with the same taxonomy | ||||
| City | MOSES LAKE |
| Zip Code | 98837 |
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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.