Provider Type Icon

IDEAL OPTION PLLC NPI 1154836872


NPI Information

NPI: 1154836872
Provider Name: IDEAL OPTION, PLLC

Doing Business As: IDEAL OPTION, PLLC

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 02D2134686

Address:
1215 120TH AVE NE
201 & 204
BELLEVUE, WA
ZIP 98005
Phone: (877) 522-1275
Get Directions

IDEAL OPTION, PLLC is an addiction medicine family medicine in Bellevue, WA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. IDEAL OPTION, PLLC NPI is 1154836872. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ideal Option, Pllc.

The provider's business location address is:

1215 120TH AVE NE
201 & 204
BELLEVUE, WA
ZIP 98005
Phone: (877) 522-1275
Fax: (509) 491-3031

The provider's authorized official is Brian Jefferson Dawson .
The authorized official title is Cmo and has the following contact phone number (509) 222-1275.

The CLIA number assigned to this NPI record is 02D2134686 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 8/30/2023.


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
1207QA0401XFamily MedicineAddiction MedicineYes

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
12031254MEDICAIDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.