NORTHWEST EYE DESIGN LLC (NPI# 1356523567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356523567 |
| Entity Type | Organization |
| Organization Name | NORTHWEST EYE DESIGN LLC |
| Other Organization Name | ERICKSON LABS NORTHWEST LLC |
| Practice Address |
12911 120th Ave Ne Suite C-10 Kirkland WA 98034 |
| Mailing Address |
12911 120th Ave Ne Suite C-10 Kirkland WA 98034-3027 |
| Practice Telephone | 4258231861 |
| Practice Fax Number | 4258231522 |
| Mailing Telephone | 4258231861 |
| Mailing Fax Number | 4258231522 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2018-08-20 |
| Authorized Official Name | MS. CHRISTIE A ERICKSON (LICENSED OCULARIST) |
| Authorized Official Telephone | 4258231861 |
| Authorized Official Credential | BCO, BADO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 601849199 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9045758 | 05 |
| Other Name | Type Code |
|---|---|
| Erickson Labs Northwest LLC | Doing Business As Name - Organization |
| Street Address |
12911 120TH AVE NE SUITE C-10 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235125188 | Aileen Ann Mickey | Internal Medicine | 12911 120th Ave Ne, Evergreen Pulmonary Care Center, Suite G-105, Kirkland, WA 98034-3027 | 2005-09-26 |
| 1912459652 | Cascade Natural Medicine | Naturopath | 12911 120th Ave Ne, Suite E-50, Kirkland, WA 98034-3027 | 2016-10-28 |
| 1306396338 | Clark Anthony Laprelle II | Physician Assistant | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2016-10-14 |
| 1457726143 | Chapin Densmore,dds, Ps | Dentist | 12911 120th Ave Ne, Suite D 50, Kirkland, WA 98034-3027 | 2015-12-06 |
| 1316340706 | Krystal Plonski | Naturopath | 12911 120th Ave Ne, Suite E-50, Kirkland, WA 98034-3027 | 2014-09-30 |
| 1114334612 | Rx Digital Radiology, LLC | Radiology | 12911 120th Ave Ne, F-240, Kirkland, WA 98034-3027 | 2014-07-16 |
| 1417360124 | Chapin Densmore | Dentist | 12911 120th Ave Ne, Suite D50, Kirkland, WA 98034-3027 | 2014-06-10 |
| 1265776470 | Garrett D. Gray | Physician Assistant | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2012-11-12 |
| 1427300565 | Sarah Severance Goble | Physician Assistant | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2012-10-14 |
| 1205194982 | Integrated Rehab Group Limited Partnership | Occupational Therapist | 12911 120th Ave Ne, #f120, Kirkland, WA 98034-3027 | 2012-05-01 |
| Find all providers in the same location | ||||
| 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 | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174934707 | Nw Magnum LLC | Prosthetic/Orthotic Supplier | 108 Central Way, Kirkland, WA 98033-6106 | 2014-05-16 |
| 1770774499 | Center for Prosthetics Orthotics, Inc. | Prosthetic/Orthotic Supplier | 12911 120th Ave Ne Ste E60, C/o Evergreen Professional Plaza, Kirkland, WA 98034-3047 | 2007-08-07 |
| 1558641886 | Prosthetic Specialists of Washington | Prosthetic/Orthotic Supplier | 607 Market St Ste A, Kirkland, WA 98033-5404 | 2011-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317784 | Preferred Orthotic and Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 520 S Cowley St Ste 104, Spokane, WA 99202-1315 | 2019-10-10 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1063906295 | Wmc Inc | Prosthetic/Orthotic Supplier | 2600 3rd Ave Ste B, Seattle, WA 98121-1293 | 2018-06-20 |
| 1205100013 | Cadence Biomedical, Inc. | Prosthetic/Orthotic Supplier | 146 N Canal St Ste 100, Seattle, WA 98103-8652 | 2012-02-27 |
| 1174807853 | Dental Sleep Therapy of Walla Walla Pllc | Prosthetic/Orthotic Supplier | 213 S 2nd Ave, Walla Walla, WA 99362-3002 | 2011-09-29 |
| 1922396159 | Hair Options | Prosthetic/Orthotic Supplier | 7106 Greenwood Ave N, Seattle, WA 98103-5038 | 2011-07-21 |
| 1083902746 | Seattle Cancer Care Alliance | Prosthetic/Orthotic Supplier | 207 Pontius Ave N, Suite 101, Seattle, WA 98109-5650 | 2011-07-15 |
| 1457645426 | Rcm Enterprise, LLC | Prosthetic/Orthotic Supplier | 8526 Delphi Rd Sw, Olympia, WA 98512-9349 | 2011-06-07 |
| 1417255019 | Beauty N Kurves LLC | Prosthetic/Orthotic Supplier | 513 1st Ave W, Seattle, WA 98119-3925 | 2011-03-05 |
| 1033424239 | Kirk, Sherris | Prosthetic/Orthotic Supplier | 6470 Ne Marshall Rd, Bainbridge Island, WA 98110-1617 | 2010-08-11 |
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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.