MEDICARE: DAMIAN GORMLEY O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OD00001975	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	OD00001975	OTHER	WA	WA STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1881773950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMIAN GORMLEY O.D.

Provider Business Mailing Address
First Line	:	5417 47TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1148
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4555 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4110
Country	:	US
Telephone Number	:	206-932-8276
Fax Number	:	206-937-2849

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1700956968 — MS. AUDREY LYNN SHIFFMAN MSW
Practice Location Address:

4519 CALIFORNIA AVE SW
SEATTLE, WA
98116-4110

Practice Phone: 206-937-0507
Practice Fax: 206-236-4782

1720553704 — TIM HAGAN
Practice Location Address:

4519 CALIFORNIA AVE SW
SEATTLE, WA
98116-4110

Practice Phone: 206-938-3711
Practice Fax:

1427640234 — NORTHLAND HEARING CENTER, INC.
Practice Location Address:

4519 CALIFORNIA AVE SW
SEATTLE, WA
98116-4110

Practice Phone: 206-938-3711
Practice Fax: 206-938-0542

1598897357 — GARY JAEGER LM
Practice Location Address:

4110 STONE WAY N
SEATTLE, WA
98103-8000

Practice Phone: 206-612-6878
Practice Fax:

1306943071 — MS. MATTIE SHAW LMP
Practice Location Address:

4110 STONE WAY N , SUITE 201
SEATTLE, WA
98103-8000

Practice Phone: 206-992-2482
Practice Fax:

1710050364 — MS. SAMANTHA A BURNS L.M.P.
Practice Location Address:

4110 STONE WAY N
SEATTLE, WA
98103-8000

Practice Phone: 206-903-9633
Practice Fax:

Directions to “ DAMIAN GORMLEY O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.