SILVERDALE EYE MDS PS (NPI# 1538498886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538498886 |
| Entity Type | Organization |
| Organization Name | SILVERDALE EYE MDS PS |
| Practice Address |
9399 Ridgetop Blvd Nw Suite A Silverdale WA 98383-9370 |
| Practice Telephone | 3603372015 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2011-02-04 |
| Authorized Official Name | ALEXANDER GLEN RICO (OWNER) |
| Authorized Official Telephone | 3603372015 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD00026496 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 88113573 | 05 |
| Street Address |
9399 RIDGETOP BLVD NW SUITE A |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98383-9370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073555371 | Alexander Glen Rico | Ophthalmology | 9399 Ridgetop Blvd Nw, Suite A, Silverdale, WA 98383 | 2006-06-12 |
| 1952755159 | Ali Lewann Armstrong Cross | Podiatrist | 9399 Ridgetop Blvd Nw, Silverdale, WA 98383-8505 | 2016-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
| 1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
| 1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
| 1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
| 1295108694 | Washington Dental Corporation | Dentist | 11065 Pacific Crest Place Nw, Suite B-105, Silverdale, WA 98383 | 2015-11-06 |
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
| 1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
| 1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
| 1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
| Find all providers in zip 98383 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548546831 | Luke Daniel Mckinney | Specialist | 10513 Silverdale Way Nw Ste 101, Silverdale, WA 98383-9499 | 2011-10-31 |
| 1598063976 | Stephen Glenn Hart | Specialist | 9481 Silverdale Way Nw, #207, Silverdale, WA 98383-8523 | 2011-03-08 |
| 1225360555 | Adrianna Chowaniec | Specialist | 1402 Nw Santa Fe Ln Apt 107, Silverdale, WA 98383-7734 | 2010-02-11 |
| 1811169964 | Jill Marie Debard | Specialist | 9222 Bayshore Dr Nw Ste 100, Silverdale, WA 98383-9114 | 2008-03-28 |
| 1730392978 | Rowena Belle Portch | Specialist | 2400 Nw Myhre Rd, Silverdale, WA 98383-7672 | 2007-05-07 |
| 1710034921 | Dore Ann King | Specialist | 9301 Linder Way Nw Ste 210, Silverdale, WA 98383-8396 | 2007-01-03 |
| 1972610459 | Jaclyn M Brown | Specialist | 9951 Mickelberry Rd Nw Ste 225, Silverdale, WA 98383-8309 | 2006-08-23 |
| 1679595524 | Mary Martha Kerns | Specialist | 3636 Nw Byron St, Suite 102, Silverdale, WA 98383-8541 | 2006-07-23 |
| 1942296371 | Jorge O Zapata Md Inc Ps | Specialist | 9750 Levin Rd Nw, Silverdale, WA 98383-8399 | 2005-09-21 |
| 1598768491 | Gillian G Esser | Specialist | 3343 Nw Byron St, Suite A, Silverdale, WA 98383-9123 | 2005-05-24 |
| Find all providers in SILVERDALE | ||||
| City | SILVERDALE |
| Zip Code | 98383 |
Please comment or provide details below to improve the information on SILVERDALE EYE MDS PS.
| 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.