NPIMap

Organization Active NPI

Sea Family Eye Care, PLLC

  • Optometrist
  • Mercer Island, WA
National Provider Identifier
1124459193
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SEA FAMILY EYE CARE, PLLC
Practice address
2448 76TH Ave SE Ste 106
Mercer Island, WA 98040-2782
Phone
(206) 232-1633
Fax
(206) 232-2502
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Dr. Savatei Susan Sea, ODNPI 1922313345
Title
Member, Optometrist
Phone
(206) 940-0723

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 WA Primary

Addresses

Primary practice location

2448 76TH Ave SE Ste 106
Mercer Island, WA 98040-2782

Mailing address

2448 76TH Ave SE Ste 106
Mercer Island, WA 98040-2782
Phone (206) 232-1633

Other identifiers 1

IdentifierTypeStateIssuer
2010382MedicaidWA

Other names 1

  • Mercer Island Family Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191127000597 WA Part B Supplier - Clinic/Group Practice 8022441344 Receives reassigned benefits from 4 practitioners
Practice locations: Mountlake Terrace, WA; Mercer Island, WA; Burien, WA

National Provider Directory

National Provider Directory

Locations

2448 76th Ave SE
Ste 106
Mercer Island, WA 98040
Phone (206) 232-1633

Practitioners & affiliated clinicians

Practitioners 5

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": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1124459193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 76TH AVE SE STE 106",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402782",
            "telephone_number": "206-232-1633",
            "fax_number": "206-232-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 76TH AVE SE STE 106",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402782",
            "telephone_number": "206-232-1633",
            "fax_number": "206-232-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "SEA",
        "authorized_official_first_name": "SAVATEI",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "MEMBER, OPTOMETRIST",
        "authorized_official_telephone_number": "206-940-0723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010382",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer Island Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.