SPECIALTY EYECARE GROUP INC (NPI# 1235317637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235317637 |
| Entity Type | Organization |
| Organization Name | SPECIALTY EYECARE GROUP INC |
| Other Organization Name | TOTEM LAKE VISION CENTER |
| Practice Address |
11830 Ne 128th St Ste 1 Kirkland WA 98034-7202 |
| Practice Telephone | 4258218900 |
| Practice Fax Number | 4258149782 |
| Mailing Telephone | 4258218900 |
| Mailing Fax Number | 4258149782 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |
| Authorized Official Name | DR. DAVID L KADING (PRESIDENT) |
| Authorized Official Telephone | 4258218900 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD00004018 | WA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Totem Lake Vision Center | Doing Business As Name - Organization |
| Street Address |
11830 NE 128TH ST STE 1 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209304 | Jasmeen Kaur Bhangu | Optometrist | 11830 Ne 128th St Ste 1, Kirkland, WA 98034-7202 | 2020-06-09 |
| 1790281905 | Andrew Fischer | Student in an Organized Health Care Education/Training Program | 11830 Ne 128th St Ste 1, Kirkland, WA 98034-7202 | 2018-04-05 |
| 1558882712 | Sarah Paige Henderson | Optometrist | 11830 Ne 128th St Ste 1, Kirkland, WA 98034-7202 | 2017-06-28 |
| 1184976417 | Charissa Young | Optometrist | 11830 Ne 128th St Ste 1, Kirkland, WA 98034-7202 | 2012-10-10 |
| 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 | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1356642466 | Hoi Yee Leung | Optometrist | 11919 Ne 128th St Ste A, Kirkland, WA 98034-7204 | 2010-11-04 |
| 1366678849 | Griff Inc | Optometrist | 11314 Ne 124th St, Kirkland, WA 98034-4303 | 2009-06-10 |
| 1205989522 | Karenjeet Sahota | Optometrist | 9726 Ne 119th Way, Kirkland, WA 98034-8955 | 2007-01-19 |
| 1447301528 | Michael A Golitz | Optometrist | 601 Market St, Kirkland, WA 98033-5422 | 2007-01-15 |
| 1790864205 | Gary Philip Archer | Optometrist | 14050 Juanita Dr Ne Ste A, Kirkland, WA 98034 | 2006-11-03 |
| 1578664082 | Henry T Peters | Optometrist | 304 Parkplace Ctr, Kirkland, WA 98033-6229 | 2006-09-26 |
| 1366553141 | Kerry Martin Atkins | Optometrist | 941 6th St S, Kirkland, WA 98033-6712 | 2006-08-31 |
| 1568490654 | Ross Cusic | Optometrist | 12011 124th Ave Ne, Kirkland, WA 98034-8204 | 2006-06-29 |
| 1780209304 | Jasmeen Kaur Bhangu | Optometrist | 11830 Ne 128th St Ste 1, Kirkland, WA 98034-7202 | 2020-06-09 |
| Find all providers in KIRKLAND | ||||
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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.