Queen Anne Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

WA3645 Issued in WA

Legal business name

QUEEN ANNE EYE CLINIC

Practice address

20 Boston St
Seattle, WA 98109-2319

Phone

(206) 282-8120

Fax

(206) 282-8046

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Trina Wilson

Title

Billing Manager

Phone

(206) 282-8120

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1043756802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BOSTON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092319",
            "telephone_number": "206-282-8120",
            "fax_number": "206-282-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BOSTON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092319",
            "telephone_number": "206-282-8120",
            "fax_number": "206-282-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN ANNE EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "206-282-8120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD4143",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA3645",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA3729",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Marie Quast, PCD
• Susan Stein Quattrociocchi, LMP
• Steven Carl Quay, MD, PHD, FCAP
• Queen Anne Chiropractic Inc, P.S.
• Queen Anne Chiropractic PS
• Queen Anne Family Medicine Inc PS
• Queen Anne Hilltop Dental
• Queen Anne Medical Associates, PLLC
• Queen Anne Naturopathic Center LTD
• Queen Anne Obstetrics and Gynecology

• Optometrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.