City Eye Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003288 Issued in WA

Legal business name

CITY EYE CARE, INC.

Practice address

1417 Queen Anne Ave N
Suite D
Seattle, WA 98109-5748

Phone

(206) 284-8852

Fax

(206) 284-8736

NPI assigned

Jan 28, 2009

Organization subpart

No

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

Authorized official

Name

John Dubicki, O.D.NPI 1386668390

Title

President

Phone

(206) 284-8852

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

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

• John E Dubicki, O.D.

  • Optometrist
  • Seattle, WA
  • NPI 1386668390
  Medicare reassignment NPD Authorized official
• Audrey R Rostov, MD

  • Ophthalmology Physician
  • Bellevue, WA
  • NPI 1427057512
  NPD (past)
• Kerri C Svanda, OD

  • Optometrist
  • Seattle, WA
  • NPI 1255505640
  NPD (past)

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1104064187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 QUEEN ANNE AVE N",
            "address_2": "SUITE D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095748",
            "telephone_number": "206-284-8852",
            "fax_number": "206-284-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 QUEEN ANNE AVE N",
            "address_2": "SUITE D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095748",
            "telephone_number": "206-284-8852",
            "fax_number": "206-284-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "DUBICKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-284-8852",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Troy Cissne
• Andrea Lauren Cistulli, DO
• Milo Citrino
• Citta Psychotherapy, PLLC
• City Chiropractic Inc
• City Eyeworks LLC
• City of Samaritans PBC
• City of Seattle
• City of Seattle
• Jonathan J Clabeaux, M.D.

• 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 Oct 28, 2009; 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.