ALDERWOOD OPTOMETRIC SERVICES PLLC (NPI# 1154867125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154867125 |
| Entity Type | Organization |
| Organization Name | ALDERWOOD OPTOMETRIC SERVICES PLLC |
| Practice Address |
2502 196th St Sw Ste 14 Lynnwood WA 98036-7091 |
| Practice Telephone | 4257722662 |
| Mailing Telephone | 4257722662 |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2018-02-14 |
| Authorized Official Name | DR. ANDREA MCKINNEY (OWNER) |
| Authorized Official Telephone | 4257712662 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD60294865 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2023596 | 05 |
| Street Address |
2502 196TH ST SW STE 14 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-7091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| 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 |
|---|---|---|---|---|
| 1114408994 | Xiang Jun Dong | Optometrist | 3333 184th St Sw # P, Lynnwood, WA 98037-4724 | 2018-08-28 |
| 1538652573 | Seth Etan Bronstein | Optometrist | 18411 Alderwood Mall Pkwy Ste A, Lynnwood, WA 98037-8010 | 2018-06-13 |
| 1912338260 | Dr Karuna Sharma Od Pllc | Optometrist | 18411 Alderwood Mall Pkwy, Suite A, Lynnwood, WA 98037-8010 | 2013-12-11 |
| 1841549276 | Andrea Mckinney | Optometrist | 2502 196th St Sw Ste 114, Lynnwood, WA 98036-7091 | 2012-08-30 |
| 1053692905 | Christine H Le | Optometrist | 3000 184th St Sw Ste 210, Lynnwood, WA 98037-4719 | 2011-09-06 |
| 1558666875 | Dr.kathryn S.thompson & Associates | Optometrist | 2701 184th St Sw Ste 109, Lynnwood, WA 98037-4739 | 2011-01-18 |
| 1821239658 | Jennifer Kwok | Optometrist | 4615 196th St Sw Ste 170, Lynnwood, WA 98036-3000 | 2009-03-06 |
| 1700084456 | Carol Kim | Optometrist | 18700 Alderwood Mall Pkwy, Lynnwood, WA 98037-8005 | 2007-07-04 |
| 1871616755 | Jennifer Renee Lo | Optometrist | 3000 184th St Sw, Lynnwood, WA 98037-4718 | 2007-04-07 |
| 1083749618 | Willow Frances Thompson | Optometrist | 16006 Ash Way Ste 101, Lynnwood, WA 98087-6352 | 2007-02-22 |
| Find all providers in LYNNWOOD | ||||
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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.