Organization Active NPI

Pinnacle Eye, PLLC

  • Ophthalmology Physician
  • Bellevue, WA
National Provider Identifier
1104799832
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PINNACLE EYE, PLLC
Practice address
1417 116TH Ave NE Ste 208
Bellevue, WA 98004-3830
Phone
(425) 800-0393
Fax
(425) 365-0600
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Karan Patel, MDNPI 1861887473
Title
Owner/Physician
Phone
(425) 800-0393

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1417 116TH Ave NE Ste 208
Bellevue, WA 98004-3830

Mailing address

1417 116TH Ave NE Ste 208
Bellevue, WA 98004-3830
Phone (425) 800-0393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251210003980 WA Part B Supplier - Clinic/Group Practice 3779077334 Receives reassigned benefits from 2 practitioners
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

1417 116th Ave NE
Ste 208
Bellevue, WA 98004
Phone (425) 800-0393

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": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1104799832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 116TH AVE NE STE 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043830",
            "telephone_number": "425-800-0393",
            "fax_number": "425-365-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 116TH AVE NE STE 208",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043830",
            "telephone_number": "425-800-0393",
            "fax_number": "425-365-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE EYE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KARAN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "425-800-0393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.