NPIMap

Organization Active NPI

Eyes on Lake Stevens

  • Optometrist
  • Lake Stevens, WA
National Provider Identifier
1073222790
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYES ON LAKE STEVENS
Practice address
9210 24TH St SE
Lake Stevens, WA 98258-8703
Phone
(425) 367-6437
Fax
(425) 367-6438
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Dr. Kathy Vuu, ODNPI 1497077382
Title
Optometrist/Owner
Phone
(206) 856-8545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9210 24TH St SE
Lake Stevens, WA 98258-8703

Mailing address

8203 132ND PL SE
Snohomish, WA 98296-5931
Phone (206) 856-8545

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1073222790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 132ND PL SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982965931",
            "telephone_number": "206-856-8545",
            "fax_number": "425-367-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 24TH ST SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588703",
            "telephone_number": "425-367-6437",
            "fax_number": "425-367-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON LAKE STEVENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "VUU",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "206-856-8545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.