NORTHWEST PEDIATRIC EYE CARE P.S. NPI 1730399049

NPI Information

NPI: 1730399049
Provider Name: NORTHWEST PEDIATRIC EYE CARE P.S.
Classification: Optometrist - 152WP0200X
Entity Type: Organization

Specialization: Pediatrics

CLIA Number: 50D0954231

Address:
14645 BEL RED RD
STE E102
BELLEVUE, WA
ZIP 98007
Phone: (425) 732-6056
Get Directions

NORTHWEST PEDIATRIC EYE CARE P.S. is a pediatrics optometrist in Bellevue, WA. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. NORTHWEST PEDIATRIC EYE CARE P.S. NPI is 1730399049. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14645 BEL RED RD
STE E102
BELLEVUE, WA
ZIP 98007-929
Phone: (425) 732-6056
Fax: (425) 732-6059

The provider's authorized official is Karen Preston .
The authorized official title is President and has the following contact phone number (425) 732-6056.

The CLIA number assigned to this NPI record is 50D0954231 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 10/9/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WP0200X	Optometrist	Pediatrics	OD00001609	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G8856807	MEDICARE PIN	WASHINGTON
2	2031482	MEDICAID	WASHINGTON
3	U87583	MEDICARE UPIN	WASHINGTON

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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