Individual provider Active NPI

Priya Subramanian, O.D.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1033449855
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60452019 Issued in WA
Practice address
401 NE Northgate Way
Ste 530
Seattle, WA 98125-6036
Phone
(206) 364-2273
Fax
(206) 364-2576
NPI assigned
Dec 29, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60452019 WA Primary
Optometrist 152W00000X 5921 OH

Addresses

Primary practice location

401 NE Northgate Way
Ste 530
Seattle, WA 98125-6036

Mailing address

401 NE Northgate Way
Ste 530
Seattle, WA 98125-6036
Phone (206) 364-2273

Other practice location 1

1520 Hilliard Rome Rd Ste Hh-Ii
Hilliard, OH 43026-8184
Phone (614) 503-5022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180131002743 WA Practitioner - Optometry 0648530139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Stephen Nevett and Associates PCGroup PAC ID 0648468975, 10 clinicians

Practice addresses (Care Compare)

401 NE Northgate Way
SPC 1101
Seattle, WA 98125-8538
Phone (206) 364-2273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Stephen Nevett and Associates, P.C. Optometrist CurrentSince Jan 29, 2018 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

11901 NE Village Plz
Ste 169
Kirkland, WA 98034
Phone (425) 602-6152

2701 184th St SW
Ste 109
Lynnwood, WA 98037
Phone (425) 712-8443

401 NE Northgate Way
Spc 1101
Seattle, WA 98125
Phone (206) 364-1668

401 NE Northgate Way
Ste 530
Seattle, WA 98125
Phone (206) 364-1668

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033449855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NE NORTHGATE WAY",
            "address_2": "STE 530",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256036",
            "telephone_number": "206-364-2273",
            "fax_number": "206-364-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NE NORTHGATE WAY",
            "address_2": "STE 530",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256036",
            "telephone_number": "206-364-2273",
            "fax_number": "206-364-2576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 Hilliard Rome Rd Ste Hh-Ii",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430268184",
            "country_code": "US",
            "telephone_number": "614-503-5022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "PRIYA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60452019",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.