Organization Active NPI

S.S. Virk & Associates Inc.

  • Optometrist
  • Woodinville, WA
National Provider Identifier
1043499411
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2077TX Issued in WA
Legal business name
S.S. VIRK & ASSOCIATES INC.
Practice address
13317 NE 175TH St Ste U
Woodinville, WA 98072-6815
Phone
(425) 486-3937
Fax
(425) 486-4717
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Allison M Mayer
Title
Optician
Phone
(425) 486-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2077TX WA Primary

Addresses

Primary practice location

13317 NE 175TH St Ste U
Woodinville, WA 98072-6815

Mailing address

13317 NE 175TH St Ste U
Woodinville, WA 98072-6815
Phone (425) 486-3937

Other identifiers 1

IdentifierTypeStateIssuer
2020360MedicaidWA

Other names 1

  • Advanced Eyecare Solutions of Woodinville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050407001029 WA Part B Supplier - Clinic/Group Practice 9931156270 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bellevue, WA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

13317 NE 175th St
Ste U
Woodinville, WA 98072
Phone (425) 486-3937

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1043499411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13317 NE 175TH ST STE U",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726815",
            "telephone_number": "425-486-3937",
            "fax_number": "425-486-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13317 NE 175TH ST STE U",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726815",
            "telephone_number": "425-486-3937",
            "fax_number": "425-486-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.S. VIRK & ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "425-486-3937"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "2077TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020360",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare Solutions of Woodinville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.