Active NPI
Maryjane Thykkuttathil Healey, O.D.
- Optometrist
- Redmond, WA
National Provider Identifier
1144537663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3658 TX
- Practice address
- 16441 NE 74TH St
E-150
Redmond, WA 98052-7801 - Phone
- (425) 882-2020
- Fax
- (425) 376-2627
- NPI assigned
- Sep 3, 2010
- Last updated
- Sep 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3658 TX | WA | Primary |
Addresses
Primary practice location
16441 NE 74TH St
E-150
Redmond, WA 98052-7801
Mailing address
16441 NE 74TH St
E-150
Redmond, WA 98052-7801
Phone (425) 882-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
16375 NE 85TH St
Suite 102
Redmond, WA 98052-3554
Phone 4258832020304
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3658 TX | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye-Q Docs of Everett LTD | Optometrist | Past | Accepting new patients |
| Eye Doctors LTD PS | Optometrist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Redmond, WA
- NPI 1972639417
-
- Optometrist
- Marysville, WA
- NPI 1225005606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1144537663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16441 NE 74TH ST",
"address_2": "E-150",
"city": "REDMOND",
"state": "WA",
"postal_code": "980527801",
"telephone_number": "425-882-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16441 NE 74TH ST",
"address_2": "E-150",
"city": "REDMOND",
"state": "WA",
"postal_code": "980527801",
"telephone_number": "425-882-2020",
"fax_number": "425-376-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALEY",
"first_name": "MARYJANE",
"middle_name": "THYKKUTTATHIL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-03",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3658 TX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
- Nataliya Hawthorn, FDN-P
- Seth Hayden, M.S.,CCC-SLP
- Annika Hayman, PT, DPT
- Chandni B Hazariwala
- Bowen He, MD
- Health at Home - Seattle Metro, LLC (Assured Home Health)
- Healthpoint (HealthPoint Redmond Pharmacy Non 340B)
- Healthpoint (Healthpoint Redmond Pharmacy)
- Healthpoint
- Healthpoint (HealthPoint Redmond Medical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.