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EYE CLINIC OF BELLEVUE LTD PS NPI 1093830648


NPI Information

NPI: 1093830648
Provider Name: EYE CLINIC OF BELLEVUE LTD PS

Doing Business As: OVERLAKE OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1300 116TH AVE NE
BELLEVUE, WA
ZIP 98004
Phone: (425) 454-7989
Get Directions

EYE CLINIC OF BELLEVUE LTD PS is an eyewear supplier in Bellevue, WA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EYE CLINIC OF BELLEVUE LTD PS NPI is 1093830648. The provider is registered as an organization entity type.
The provider Is Doing Business As Overlake Optical.

The provider's business location address is:

1300 116TH AVE NE
BELLEVUE, WA
ZIP 98004-808
Phone: (425) 454-7989
Fax: (425) 454-7915

The provider's authorized official is Karin Polzin .
The authorized official title is Office Manager and has the following contact phone number (425) 454-3133.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/25/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear Supplier07392WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10195900001MEDICARE NSCWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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