NW EYE DOCS, INC. (NPI# 1861533622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861533622 |
| Entity Type | Organization |
| Organization Name | NW EYE DOCS, INC. |
| Practice Address |
4538 Klahanie Dr Se Issaquah WA 98029-5812 |
| Mailing Address |
Po Box 1834 Issaquah WA 98027-0075 |
| Practice Telephone | 4253929982 |
| Practice Fax Number | 8153015473 |
| Mailing Telephone | 2062513831 |
| Mailing Fax Number | 4254278644 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2012-02-03 |
| Authorized Official Name | JENNIFER JUANG (OPTOMETRIST) |
| Authorized Official Telephone | 2062513831 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2026656 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073655668 | Nw Eye Docs, Inc. | Optometrist | 16735 Se 272nd St Ste C, Covington, WA 98042-4942 | 2007-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NW EYE DOCS, INC. | 18716 Se 43rd St, Issaquah, WA 98027-9748 |
| Street Address |
4538 KLAHANIE DR SE |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093707556 | Michael Dennis Erickson | Optometrist | 4538 Klahanie Dr Se, Issaquah, WA 98029 | 2005-08-19 |
| 1841606738 | Christina Schiller | Optometrist | 4538 Klahanie Dr Se, Issaquah, WA 98029-5812 | 2014-07-11 |
| 1033373790 | Michael Erickson | Optometrist | 4538 Klahanie Dr Se, Issaquah, WA 98029-5812 | 2008-07-11 |
| 1962544569 | Jennifer An-jeng Juang | Optometrist | 4538 Klahanie Dr Se, Issaquah, WA 98029-5812 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| 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 |
|---|---|---|---|---|
| 1912410150 | Issaquah Vision Center Pllc | Optometrist | 1460 Nw Gilman Blvd Ste K2, Issaquah, WA 98027-5300 | 2017-11-09 |
| 1225465214 | Michael H Tam | Optometrist | 1145 Nw Gilman Blvd, Suite G-12, Issaquah, WA 98027 | 2013-10-04 |
| 1750525820 | Mary Ellen Quan | Optometrist | 2519 Ne Kensington Ct, Issaquah, WA 98029-3658 | 2009-04-20 |
| 1285833087 | Terry E Cowgill | Optometrist | 200 Nw Birch Pl, Issaquah, WA 98027-3204 | 2007-07-12 |
| 1184751265 | Teri Tsuchiya Yoshimura | Optometrist | 1145 Nw Gilman Blvd # G-12, Issaquah, WA 98027-8974 | 2007-02-27 |
| 1003973579 | Frank Swenson | Optometrist | 700 Nw Gilman Blvd., Suite E-102, Issaquah, WA 98027 | 2007-01-03 |
| 1396800025 | Dean Riskedahl | Optometrist | 2092 32nd Ave Ne, Issaquah, WA 98029-7349 | 2006-12-22 |
| 1720163694 | Samuel Lee Ahn | Optometrist | 1000 Ne Park Dr, Issaquah, WA 98029-7404 | 2006-10-26 |
| 1942399860 | Stephen Goo, Od, Ps | Optometrist | 700 Nw Gilman Blvd Ste E102, Issaquah, WA 98027-5341 | 2006-10-11 |
| 1760473920 | Mark J Jensen | Optometrist | 22530 Se 64th Pl, Ste 140, Issaquah, WA 98027-5353 | 2005-11-04 |
| Find all providers in ISSAQUAH | ||||
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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.