PACIFIC VISION
NPI 1770564445
Optometrist - Corneal and Contact Management in Tacoma, WA

NPI Status: Active since November 09, 2005

Contact Information

4620 PACIFIC AVE
TACOMA, WA
ZIP 98408
Phone: (253) 473-3443
Fax: (253) 473-7127

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  • Organization
  • Optometrist
  • Corneal and Contact Management

About PACIFIC VISION

This page provides the complete NPI Profile along with additional information for Pacific Vision, a provider established in Tacoma, Washington operating as a Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1770564445 assigned on November 2005. The practitioner's primary taxonomy code is 152WC0802X with license number 1349 (WA). The provider is registered as an organization and their NPI record was last updated 13 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 Pacific Vision. The authorized official of this NPI record is Dr. Harold L. Bircumshaw Od (President)

NPI
1770564445
Provider Legal Name
PROFESSIONAL VISION SERVICES, PS
Other Organization Name
PACIFIC VISION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4620 PACIFIC AVE TACOMA, WA 98408
Location Phone
(253) 473-3443
Location Fax
(253) 473-7127
Mailing Address
4620 PACIFIC AVE TACOMA, WA 98408
Mailing Phone
(253) 473-3443
Mailing Fax
(253) 473-7127
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2005
Last Update Date
04-03-2012
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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 Corneal and Contact Management

Taxonomy Code
152WC0802X
Type
Eye and Vision Services Providers
License No.
1349
License State
WA
Taxonomy Description
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.

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:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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. HAROLD L. BIRCUMSHAW OD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(253) 473-3443

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1203680OTHER (01)WADSHS VENDOR
209-783OTHER (01)WAOFFICE OF DISABILITY INSURANCE
WA0179OTHER (01)NBN
482,107-02OTHER (01)WAL & I WORKERS COMP
GAB 04232MEDICARE ID-TYPE UNSPECIFIED (04)WAMIDICARE NUMBER
W912748OTHER (01)WACHAMPUS
61722OTHER (01)WASPECTERA
TO 2664MEDICARE UPIN (02)WA 
BI 0008OTHER (01)REGENCE BLUE SHIELD
408872MEDICARE NSC (07)WA 
G8878811OTHER (01)WAMEDICARE PTAN

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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.
1770564445
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27140106848
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 0 + 6 + 8 + 4 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1770564445 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679592190DR. HAROLD L. BIRCUMSHAW O.D.
Individual
Optometrist (Corneal and Contact Management)4620 PACIFIC AVE
TACOMA, WA 98408
(253) 473-3443
1124331558SIGHTCARE, INC
Organization
Clinic/Center (Community Health)4620 PACIFIC AVE
TACOMA, WA 98408
(253) 473-3443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770564445, enumerated in the NPI registry as an "organization" on November 09, 2005

The provider is located at 4620 Pacific Ave Tacoma, Wa 98408 and the phone number is (253) 473-3443

This medical organization specializes in Optometrist with taxonomy code 152WC0802X with a focus in Corneal and Contact Management

The provider might be accepting Accepts: Medicare, Medicaid, Tricare and Blue Cross Blue. 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 November 09, 2005. 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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