Maple Valley Eye Care Center PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

3489TX Issued in WA

Legal business name

MAPLE VALLEY EYE CARE CENTER PS

Practice address

26615 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038-8347

Phone

(425) 413-8787

Fax

(425) 413-4012

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Robert Keil Neal, ODNPI 1376632539

Title

Owner

Phone

(425) 413-8787

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 7

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

• Robert Keil Neal, O.D.

  • Optometrist
  • Maple Valley, WA
  • NPI 1376632539
  Medicare reassignment Care Compare group Authorized official
• Rebecca Jeanne Velasco Anderson, OD

  • Optometrist
  • Maple Valley, WA
  • NPI 1407479918
  Medicare reassignment Care Compare group NPD
• Nicholas Castagna, OD

  • Optometrist
  • Maple Valley, WA
  • NPI 1841910270
  Medicare reassignment Care Compare group NPD
• Jerianne Montgomery, OD

  • Optometrist
  • Maple Valley, WA
  • NPI 1164844734
  Medicare reassignment Care Compare group
• Brandon Morris, OD

  • Optometrist
  • Maple Valley, WA
  • NPI 1912492430
  Medicare reassignment Care Compare group
• Heather Ching, OD

  • Optometrist
  • Maple Valley, WA
  • NPI 1972418804
  NPD (past)
• Abigail K Neal, OD

  • Optometrist
  • Tacoma, WA
  • NPI 1730296005
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1124224217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26615 MAPLE VALLEY BLACK DIAMOND RD SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388347",
            "telephone_number": "425-413-8787",
            "fax_number": "425-413-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26615 MAPLE VALLEY BLACK DIAMOND RD SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388347",
            "telephone_number": "425-413-8787",
            "fax_number": "425-413-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE VALLEY EYE CARE CENTER PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-413-8787",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3489TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022853",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR R NEAL",
            "identifier": "1376632539",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leeanna Mao, LMT
• Maple Valley Acupuncture
• Maple Valley Chiropractic and Massage, Inc.
• Maple Valley Chiropractic PLLC (Spinacare Chiropractic & Massage)
• Maple Valley Dentistry Professionals
• Maple Valley Hearing AIDS LLC
• Maple Valley Movement Neurology, PLLC
• Maple Valley Physical Therapy, Inc.
• Maple Valley Vision Clinic PLLC (Maple Valley Vision Clinic)
• George M. Marchis, D.P.T.

• Optometrist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.