Organization Active NPI

NW Eye Docs, Inc.

  • Optometrist
  • Covington, WA
National Provider Identifier
1073655668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NW EYE DOCS, INC.
Practice address
16735 SE 272ND St Ste C
Covington, WA 98042-4942
Phone
(253) 639-4077
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Juang, O.D.NPI 1962544569
Title
Optometrist
Phone
(425) 687-7981

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 SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16735 SE 272ND St Ste C
Covington, WA 98042-4942

Mailing address

PO Box 1834
Issaquah, WA 98027-0075
Phone (425) 687-7981

Other identifiers 1

IdentifierTypeStateIssuer
2026656MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
NW Eye Docs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16735 SE 272nd St
Ste C
Covington, WA 98042
Phone (253) 639-4077

Practitioners & affiliated clinicians

Practitioners 2

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073655668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1834",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980270075",
            "telephone_number": "425-687-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16735 SE 272ND ST STE C",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424942",
            "telephone_number": "253-639-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW EYE DOCS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUANG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "425-687-7981",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026656",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.