DR. SANDRA ETHEL FLAMMINI OD
Complete NPI Record 1497707525
Optometrist in Tacoma, WA

NPI Status: Active since May 17, 2006

Contact Information

9040 JACKSON AVE
TACOMA, WA
ZIP 98431
Phone: (254) 968-3760

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Complete NPI Dataset

This page represents the complete record for NPI 1497707525. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1497707525
The country code in the location address of the provider being identified.
Entity Type Code: 1
The telephone number associated with the location address of the provider being identified.
The fax number associated with the location address of the provider being identified.
Provider First Name: SANDRA
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Middle Name: ETHEL
The date that a record was last updated or changed.
Provider Name Prefix Text: DR.
The code designating the provider’s gender if the provider is a person.
Provider Credential Text: OD
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider First Line Business Mailing Address: 9040 JACKSON AVE
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: TACOMA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Mailing Address State Name: WA
Provider Business Mailing Address Postal Code: 984310001
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 2539682252
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 9040 JACKSON AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: TACOMA
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: WA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 984316326
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 2549683760
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 5/17/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 1/3/2020
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 152W00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 3372
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: WA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No