MICHAEL ERICKSON, O.D. (NPI# 1568799062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568799062 |
| Entity Type | Organization |
| Organization Name | MICHAEL ERICKSON, O.D. |
| Other Organization Name | LAKEMONT EYE CARE |
| Practice Address |
4957 Lakemont Blvd Se Suite C-5 Bellevue WA 98006-7801 |
| Practice Telephone | 4257460908 |
| Practice Fax Number | 8153463499 |
| Mailing Telephone | 4257460908 |
| Mailing Fax Number | 8153463499 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | DR. MICHAEL DENNIS ERICKSON (OPTOMETRIST/OWNER) |
| Authorized Official Telephone | 4257460908 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | OD00003260 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lakemont Eye Care | Doing Business As Name - Organization |
| Street Address |
4957 LAKEMONT BLVD SE SUITE C-5 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273794 | Shirley Jean Champoux | Massage Therapist | 4957 Lakemont Blvd Se, Suite C3 Tai Lakemont Physical Therapy, Bellevue, WA 98006-7801 | 2005-11-23 |
| 1659504405 | Callen James Blackbird | Chiropractor | 4957 Lakemont Blvd Se, Suite # 175, Bellevue, WA 98006-7801 | 2009-08-27 |
| 1184899635 | Brian Daniel Crosier | Physical Therapist | 4957 Lakemont Blvd Se, Ste. C-3, Bellevue, WA 98006-7801 | 2008-04-25 |
| 1487630257 | Therapeutic Associates Inc | Occupational Therapist | 4957 Lakemont Blvd Se, Ste C3, Bellevue, WA 98006-7801 | 2005-12-22 |
| 1548243405 | Megan Gillespie Yount | Physical Therapist | 4957 Lakemont Blvd Se, Ste C3, Bellevue, WA 98006-7801 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528963 | Dimensions Aba, LLC | Clinic/Center | 1808 Richards Rd Ste 102, Bellevue, WA 98005-3982 | 2019-09-30 |
| 1376947747 | Align Bodyworks Pllc | Clinic/Center | 16040 Northup Way, Bellevue, WA 98008-2541 | 2014-10-14 |
| 1861895104 | Rediclinic of Wa, LLC | Clinic/Center | 15100 S.e. 38th Street, Bellevue, WA 98006-1763 | 2014-10-01 |
| 1700100344 | Integrated Rehabilitation Group PC | Clinic/Center | 1515 116th Ave Ne Ste 107, Bellevue, WA 98004-3811 | 2010-03-25 |
| 1164670196 | Creighton University Medical Center | Clinic/Center | 3802 Raynor Pkwy Ste 201, Bellevue, NE 68123-2528 | 2008-09-03 |
| 1609064245 | Golden Hand Massage | Clinic/Center | 10617 Ne 2nd St, Bellevue, WA 98004-5727 | 2007-10-09 |
| 1205455060 | Formosa Acupuncture & Herbs Corporation | Clinic/Center | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1598255903 | Sports and Spine | Clinic/Center | 3900 Factoria Blvd Se Ste A, Bellevue, WA 98006-1234 | 2018-05-11 |
| 1023506714 | Hotel California By The Sea Bellevue, LLC. | Clinic/Center | 1601 114th Ave Se Ste 180, Bellevue, WA 98004-6955 | 2018-04-27 |
| 1710414594 | Tree of Life Acupuncture | Clinic/Center | 1215 120th Ave Ne, Suite 206, Bellevue, WA 98005-2135 | 2017-05-11 |
| Find all providers in BELLEVUE | ||||
Please comment or provide details below to improve the information on MICHAEL ERICKSON, O.D..
| 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.