MILL CREEK EYE AND CONTACT LENS CLINIC, INC. (NPI# 1194094490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194094490 |
| Entity Type | Organization |
| Organization Name | MILL CREEK EYE AND CONTACT LENS CLINIC, INC. |
| Other Organization Name | MILL CREEK VISION |
| Practice Address |
15808 Mill Creek Blvd Suite #110 Mill Creek WA 98012-1500 |
| Practice Telephone | 4257455650 |
| Practice Fax Number | 4253371342 |
| Mailing Telephone | 4257455650 |
| Mailing Fax Number | 4253371342 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | DR. FRED MASATO ARIMA JR. (PRES) |
| Authorized Official Telephone | 4257455650 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1409 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2011344 | 05 |
| Other Name | Type Code |
|---|---|
| Mill Creek Vision | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MILL CREEK EYE AND CONTACT LENS CLINIC, INC. | 15808 Mill Creek Blvd, Suite 110, Mill Creek, WA 98012-1500 |
| Street Address |
15808 MILL CREEK BLVD SUITE #110 |
| City | MILL CREEK |
| State | WA |
| Zip Code | 98012-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518952233 | Thomas E Arnold | Physical Therapist | 15808 Mill Creek Blvd, Mill Creek, WA 98012-1500 | 2005-09-19 |
| 1679006837 | Lewina Youn Dds Pllc | Dentist | 15808 Mill Creek Blvd, 202, Mill Creek, WA 98012-1500 | 2017-04-05 |
| 1982152419 | Shiri K. Krasner-rosenstein | Physical Therapist | 15808 Mill Creek Blvd, Suite 120, Mill Creek, WA 98012-1500 | 2016-09-13 |
| 1710363429 | Kelsey E. Venable | Physical Therapist | 15808 Mill Creek Blvd, Suite 120, Mill Creek, WA 98012-1500 | 2015-08-04 |
| 1588902332 | Nikki H. Chin Lowe Dds Pllc | Dentist | 15808 Mill Creek Blvd, Suite 130, Mill Creek, WA 98012-1500 | 2013-01-29 |
| 1417219155 | Lewina Yeaseul Youn | Dentist | 15808 Mill Creek Blvd, 202, Mill Creek, WA 98012-1500 | 2012-06-08 |
| 1821359365 | Mill Creek Women's Healthcare Pllc | Obstetrics & Gynecology | 15808 Mill Creek Blvd, Suite 200, Mill Creek, WA 98012-1500 | 2012-05-31 |
| 1649492570 | Nikki Hiroye Chin | Dentist | 15808 Mill Creek Blvd, Suite 130, Mill Creek, WA 98012-1500 | 2007-05-02 |
| 1710100532 | Kurt Russell | Optometrist | 15808 Mill Creek Blvd, Suite 110, Mill Creek, WA 98012-1500 | 2007-04-10 |
| 1063519031 | Mill Creek Women's Healthcare, Pllc | Obstetrics & Gynecology | 15808 Mill Creek Blvd, Suite #200, Mill Creek, WA 98012-1500 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| 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 |
|---|---|---|---|---|
| 1669030532 | Eden Weldetnsae | Optometrist | 16708 Bothell Everett Hwy Ste 103, Mill Creek, WA 98012-6345 | 2019-06-04 |
| 1194132357 | Milda Bandza | Optometrist | 16300 Mill Creek Blvd Ste 118, Mill Creek, WA 98012-1278 | 2014-07-18 |
| 1134484330 | Meimey Tan Wong | Optometrist | 15808 Mill Creek Blvd Ste 110, Mill Creek, WA 98012-1500 | 2012-07-12 |
| 1417232562 | Patrick Ho | Optometrist | 914 164th St Se # 485, Mill Creek, WA 98012-6385 | 2011-10-19 |
| 1326336553 | Eye Society Mill Creek Pllc | Optometrist | 15407 Main St # E103, Mill Creek, WA 98012-7375 | 2011-07-21 |
| 1013221829 | Sarah Youssef Makari | Optometrist | 14607 Main Street, Apartment A208, Mill Creek, WA 98012 | 2010-08-04 |
| 1821131848 | Town Center Eye Care, LLC | Optometrist | 15118 Main Street, Suite 600, Mill Creek, WA 98012-1653 | 2007-02-15 |
| 1700926557 | Sandy P Cho | Optometrist | 3310 160th Pl Se, Mill Creek, WA 98012-8336 | 2007-02-08 |
| 1467504803 | Derin Ken Taguchi | Optometrist | 15407 Main St, # E103, Mill Creek, WA 98012-7375 | 2007-01-17 |
| 1396822896 | Amenda Yen-wen Chou | Optometrist | 13206 Bothell Everett Hwy, 401d, Mill Creek, WA 98012-3402 | 2006-11-01 |
| Find all providers in MILL CREEK | ||||
| City | MILL CREEK |
| Zip Code | 98012 |
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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.