DR. MARY ELLEN QUAN (NPI# 1750525820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750525820 |
| Entity Type | Individual |
| Full Name | DR. MARY ELLEN QUAN |
| Credential | O.D. |
| Practice Address |
2519 Ne Kensington Ct Issaquah WA 98029-3658 |
| Practice Telephone | 9012778349 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 707 | HI | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 60096396 | WA | Eye and Vision Services Providers |
| Street Address |
2519 NE KENSINGTON CT |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029-3658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| 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 |
|---|---|---|---|---|
| 1912410150 | Issaquah Vision Center Pllc | Optometrist | 1460 Nw Gilman Blvd Ste K2, Issaquah, WA 98027-5300 | 2017-11-09 |
| 1225465214 | Michael H Tam | Optometrist | 1145 Nw Gilman Blvd, Suite G-12, Issaquah, WA 98027 | 2013-10-04 |
| 1285833087 | Terry E Cowgill | Optometrist | 200 Nw Birch Pl, Issaquah, WA 98027-3204 | 2007-07-12 |
| 1184751265 | Teri Tsuchiya Yoshimura | Optometrist | 1145 Nw Gilman Blvd # G-12, Issaquah, WA 98027-8974 | 2007-02-27 |
| 1003973579 | Frank Swenson | Optometrist | 700 Nw Gilman Blvd., Suite E-102, Issaquah, WA 98027 | 2007-01-03 |
| 1396800025 | Dean Riskedahl | Optometrist | 2092 32nd Ave Ne, Issaquah, WA 98029-7349 | 2006-12-22 |
| 1720163694 | Samuel Lee Ahn | Optometrist | 1000 Ne Park Dr, Issaquah, WA 98029-7404 | 2006-10-26 |
| 1942399860 | Stephen Goo, Od, Ps | Optometrist | 700 Nw Gilman Blvd Ste E102, Issaquah, WA 98027-5341 | 2006-10-11 |
| 1760473920 | Mark J Jensen | Optometrist | 22530 Se 64th Pl, Ste 140, Issaquah, WA 98027-5353 | 2005-11-04 |
| 1093707556 | Michael Dennis Erickson | Optometrist | 4538 Klahanie Dr Se, Issaquah, WA 98029 | 2005-08-19 |
| Find all providers in ISSAQUAH | ||||
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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.