OVERLAKE FAMILY VISION, PLLC (NPI# 1629241112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629241112 |
| Entity Type | Organization |
| Organization Name | OVERLAKE FAMILY VISION, PLLC |
| Practice Address |
1135 116th Ave Ne Ste120 Bellevue WA 98004-4626 |
| Practice Telephone | 4256380700 |
| Mailing Telephone | 4256380700 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2010-05-15 |
| Authorized Official Name | DR. MARY E BAKER (OWNER) |
| Authorized Official Telephone | 4256380700 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 1995TX | WA | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | OVERLAKE FAMILY VISION, PLLC | 1951 152nd Pl Ne Ste 100, Bellevue, WA 98007-4879 |
| Street Address |
1135 116TH AVE NE STE120 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316491244 | Gregory B Mortensen Dds | Point of Service | 14645 Bel Red Rd Ste 100, Bellevue, WA 98007-3929 | 2016-08-09 |
| 1639331135 | Progressive Dentistry, Inc. | Point of Service | 12816 Se 38th St Ste I, Bellevue, WA 98006-1327 | 2008-06-26 |
| 1457796112 | Tensegrity | Point of Service | 555 108th Ave Ne Ste 1, Bellevue, WA 98004-5578 | 2013-05-07 |
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|---|---|---|---|---|
| 1770181232 | Tonn Physio Pllc | Point of Service | 307 S 1st St Ste B103, Mount Vernon, WA 98273-3856 | 2020-10-15 |
| 1871052696 | Pharmacare Services LLC | Point of Service | 17657 State Route 231 N, Edwall, WA 99008-9504 | 2019-03-19 |
| 1053861518 | Prestige Phlebotomy | Point of Service | 17630 30th Avenue Ct E, Tacoma, WA 98446-1113 | 2016-10-09 |
| 1205383205 | Janette Carroll, Dds, Pllc | Point of Service | 2210 Kulshan View Dr Ste 101, Mount Vernon, WA 98273-2779 | 2016-09-07 |
| 1336599513 | Kings Royal Care | Point of Service | 8141 Lopez Dr, Clinton, WA 98236-9236 | 2016-06-17 |
| 1568834703 | Internal Acceptance, Pllc | Point of Service | 60 Nw Boistfort St, Chehalis, WA 98532-2003 | 2015-10-28 |
| 1184002081 | Melinda Kay Morrison | Point of Service | 3310 Sw 327th Pl, Federal Way, WA 98023-2759 | 2015-05-12 |
| 1235517236 | Lora's Massage & Aromatherapy Services | Point of Service | 12211 Edgewood Ave Sw, Apt.# 12, Lakewood, WA 98498-1201 | 2015-05-11 |
| 1649657750 | Alicia Koch-johnson | Point of Service | 14826 42nd Ave S, Tukwila, WA 98168-4436 | 2015-04-28 |
| 1861885527 | K's Optical LLC | Point of Service | 23020 Edmonds Way Unit 114, Edmonds, WA 98020-5066 | 2015-03-05 |
| 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.