PUYALLUP VISION SOURCE PS
NPI 1174294870
Optometrist in Puyallup, WA

NPI Status: Active since September 22, 2021

Contact Information

113 W PIONEER
PUYALLUP, WA
ZIP 98371
Phone: (253) 845-8215
Fax: (253) 845-7030

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  • Organization
  • Optometrist
  • Accepts Insurance

About PUYALLUP VISION SOURCE PS

This page provides the complete NPI Profile along with additional information for Puyallup Vision Source Ps, a provider established in Puyallup, Washington operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1174294870 assigned on September 2021. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Puyallup Vision Source Ps. The authorized official of this NPI record is Dr. Michael David Noble Od (Doctor/owner)

NPI
1174294870
Provider Legal Name
PEARL EYECARE CENTER P S
Other Organization Name
PUYALLUP VISION SOURCE PS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
113 W PIONEER PUYALLUP, WA 98371
Location Phone
(253) 845-8215
Location Fax
(253) 845-7030
Mailing Address
5016 BRIDGEPORT WAY W UNIVERSITY PLACE, WA 98467
Mailing Phone
(235) 472-1188
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-22-2021
Last Update Date
10-09-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHAEL DAVID NOBLE OD

Authorized Official Title
DOCTOR/OWNER
Authorized Official Phone
(253) 472-1188

Reviews for PUYALLUP VISION SOURCE PS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174294870
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144498814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 4 + 9 + 8 + 8 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1174294870 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740279595 GARY DANA LINTON OD
Individual
Optometrist113 W PIONEER
PUYALLUP, WA 98371
(253) 845-8215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174294870, enumerated in the NPI registry as an "organization" on September 22, 2021

The provider is located at 113 W Pioneer Puyallup, Wa 98371 and the phone number is (253) 845-8215

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 22, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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