EYE ASSOCIATES NORTHWEST, PC (NPI# 1154399319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154399319 |
| Entity Type | Organization |
| Organization Name | EYE ASSOCIATES NORTHWEST, PC |
| Other Organization Name | EVERGREEN OPTICAL |
| Practice Address |
11919 Ne 128th St Ste A Kirkland WA 98034-7204 |
| Mailing Address |
1101 Madison St Ste 600 Seattle WA 98104-1306 |
| Practice Telephone | 4258206307 |
| Practice Fax Number | 4258218836 |
| Mailing Telephone | 2062152004 |
| Mailing Fax Number | 2062152055 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-10 |
| Authorized Official Name | MARSHA LAMBORN (BILLING MANAGER) |
| Authorized Official Telephone | 2062152004 |
| Is Organization Subpart | Y |
| Parent Organization Name | EYE ASSOCIATES NORTHWEST, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Evergreen Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508821356 | Eye Associates Northwest, PC | Eyewear Supplier (Equipment, not the service) | 5300 17th Ave Nw, Seattle, WA 98107-3815 | 2006-04-17 |
| 1811952815 | Eye Associates Northwest, PC | Clinic/Center | 1101 Madison St, Suite 600, Seattle, WA 98104-1306 | 2006-04-20 |
| 1184689408 | Eye Associates Northwest, PC | Durable Medical Equipment & Medical Supplies | 1455 Nw Leary Way, Suite 300, Seattle, WA 98107-5136 | 2006-04-19 |
| 1639134497 | Eye Associates Northwest, PC | Durable Medical Equipment & Medical Supplies | 1229 Madison St, Suite 1190, Seattle, WA 98104-3586 | 2006-04-17 |
| 1841255619 | Eye Associates Northwest, PC | Eyewear Supplier (Equipment, not the service) | 155 Ne 100th St, Suite 110, Seattle, WA 98125-8012 | 2006-04-17 |
| 1225005697 | Eye Associates Northwest, PC | Eyewear Supplier (Equipment, not the service) | 1101 Madison St, Ste 600, Seattle, WA 98104-1306 | 2006-03-03 |
| Street Address |
11919 NE 128TH ST STE A |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922085646 | W Mark Potampa | Ophthalmology | 11919 Ne 128th St, Suite A, Kirkland, WA 98034-7204 | 2005-12-22 |
| 1669553251 | Eastside Womens Clinic | Clinic/Center | 11919 Ne 128th St, Suite C, Kirkland, WA 98034-7204 | 2006-10-18 |
| 1598845018 | Suzan Jeanne Watanabe | Nurse Practitioner | 11919 Ne 128th St, Suite C, Kirkland, WA 98034-7204 | 2006-10-17 |
| 1558349076 | Dennis D. Waltman | Ophthalmology | 11919 Ne 128th St, Suite A, Kirkland, WA 98034-7204 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538550751 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 8629 120th Ave Ne, Kirkland, WA 98033-5822 | 2015-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004477 | The Vancouver Clinic Inc Ps | Eyewear Supplier (Equipment, not the service) | 2 S 56th Pl Ste 205, Ridgefield, WA 98642-3427 | 2020-05-15 |
| 1619514825 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 11111 Ne 8th St Ste 147, Bellevue, WA 98004-4489 | 2019-12-06 |
| 1790341675 | Zachary Robert Cooper | Eyewear Supplier (Equipment, not the service) | 301 Queen Anne Ave N # 506, Seattle, WA 98109-4513 | 2019-05-15 |
| 1235795626 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1052 Springwater Ave, Wenatchee, WA 98801-1546 | 2019-05-12 |
| 1154987535 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9326 N Division St, Spokane, WA 99218-1227 | 2019-05-11 |
| 1699331074 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2529 Main St Ste P6-a, Union Gap, WA 98903-1690 | 2019-05-11 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1437648508 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 4502 S Steele St Ste 700, Tacoma, WA 98409-7224 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1457860702 | Visionpros Usa Inc | Eyewear Supplier (Equipment, not the service) | 1750 Grant Ave, Blaine, WA 98230-5155 | 2017-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.