Individual provider Active NPI

Vanessa G Michel, OD

  • Optometrist
  • Redmond, WA
National Provider Identifier
1053426866
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3908 Issued in WA
Practice address
23535 NE Novelty Hill Rd
D302
Redmond, WA 98053-5502
Phone
(425) 898-9222
Fax
(253) 854-2020
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3908 WA Primary

Addresses

Primary practice location

23535 NE Novelty Hill Rd
D302
Redmond, WA 98053-5502

Mailing address

23535 NE Novelty Hill Rd
D302
Redmond, WA 98053-5502
Phone (425) 898-9222

Other identifiers 4

IdentifierTypeStateIssuer
0213556OtherWALABOR & INDUSTRIES
P00397181OtherWARAILROAD MEDICARE INDIVIDUAL
2029585MedicaidWA
DF8532OtherWARAILROAD MEDICARE GROUP

Other names 1

  • Vanessa G Kirby Former name

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
I20040811001383 WA Practitioner - Optometry 5092787721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians
Vanessa Michel PLLCGroup PAC ID 9234266065, 2 clinicians

Practice addresses (Care Compare)

1098 Alder Ave
Marysville, WA 98270-4318
Phone (360) 659-6255

12310 NE 8TH St
Suite 101
Bellevue, WA 98005-3185
Phone (425) 455-0001

23535 NE Novelty Hill Rd
Redmond, WA 98053-5502
Phone (425) 898-9222

602 228TH Ave NE
Sammamish, WA 98074-7241
Phone (425) 836-5352

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3908WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa Michel PLLC Optometrist CurrentSince Dec 28, 2009 Accepting new patients
Aeg Washington Professional PC Optometrist CurrentSince Jul 11, 2025 Accepting new patients
Kosnoski Eye Care Inc Past Accepting new patients

Locations

12310 NE 8th St
Ste 101
Bellevue, WA 98005
Phone (425) 455-0001

1098 Alder Ave
Marysville, WA 98270
Phone (360) 659-6255

23535 NE Novelty Hill Rd
Ste D302
Redmond, WA 98053
Phone (425) 898-9222

23535 NE Novelty Hill Rd
#D302
Redmond, WA 98053
Phone (425) 898-9222

602 228th Ave NE
Sammamish, WA 98074
Phone (425) 836-5352

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1053426866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23535 NE NOVELTY HILL RD",
            "address_2": "D302",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535502",
            "telephone_number": "425-898-9222",
            "fax_number": "253-854-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23535 NE NOVELTY HILL RD",
            "address_2": "D302",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535502",
            "telephone_number": "425-898-9222",
            "fax_number": "253-854-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "VANESSA",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0213556",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIVIDUAL",
            "identifier": "P00397181",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029585",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DF8532",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "KIRBY",
            "middle_name": "G",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.