VIDA KAZEMPOUR MATANAGH (NPI# 1356750111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356750111 |
| Entity Type | Individual |
| Full Name | VIDA KAZEMPOUR MATANAGH |
| Practice Address |
400 Bellevue Sq Bellevue WA 98004-5002 |
| Mailing Address |
10805 107th Place Ne Kirkland WA 98033 |
| Practice Telephone | 2062720762 |
| Mailing Telephone | 2062720762 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 60480159 | WA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 148th Ave Ne, Redmond, WA 980525524 | 4256446581 |
| Street Address |
400 BELLEVUE SQ |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366961534 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 400 Bellevue Sq, Bellevue, WA 98004-5002 | 2017-09-19 |
| 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 | 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 |
|---|---|---|---|---|
| 1528667789 | Myeyedr Optometry of Ohio, LLC | Optometrist | 1355 W Main St Ste A, Bellevue, OH 44811-9082 | 2020-10-20 |
| 1245857044 | Minha Lee | Optometrist | 1468 158th Pl Ne, Bellevue, WA 98008-2782 | 2020-06-29 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1306337506 | Vision Care Center, Pllc | Optometrist | 14700 Ne 8th St Ste 105, Bellevue, WA 98007-4115 | 2018-05-23 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1043745839 | Harshani Buddika Amaraweera | Optometrist | 909 112th Ave Ne Apt 1005, Bellevue, WA 98004-8586 | 2017-04-28 |
| 1215471271 | Horizon Vision Clinic | Optometrist | 14150 Ne 20th St Ste E1, Bellevue, WA 98007-3700 | 2016-12-10 |
| 1407302003 | Kory Botelho | Optometrist | 14517 Ne 3rd St, Bellevue, WA 98007-4906 | 2016-09-01 |
| 1124473764 | Jacob Gilbar | Optometrist | 10670 Ne 29th St, Apt 87, Bellevue, WA 98004-2010 | 2016-05-02 |
| 1366858417 | Global Eyecare | Optometrist | 12400 Se 38th St # 53083, Bellevue, WA 98006-1202 | 2014-07-09 |
| Find all providers in BELLEVUE | ||||
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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.