Provider Demographics
NPI:1821575705
Name:PACIFIC COAST EYECARE P.S.
Entity Type:Organization
Organization Name:PACIFIC COAST EYECARE P.S.
Other - Org Name:TACOMA EYE AT WESTGATE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:W
Authorized Official - Last Name:MEERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:253-220-2563
Mailing Address - Street 1:2661 N PEARL ST # 432
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-2424
Mailing Address - Country:US
Mailing Address - Phone:253-220-2563
Mailing Address - Fax:
Practice Address - Street 1:6004 WESTGATE BLVD STE 180
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2503
Practice Address - Country:US
Practice Address - Phone:253-312-8890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD4039TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty