Alderwood Optometric Services PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60294865 Issued in WA

Legal business name

ALDERWOOD OPTOMETRIC SERVICES PLLC

Practice address

2502 196TH St SW Ste 14
Lynnwood, WA 98036-7091

Phone

(425) 772-2662

NPI assigned

Jan 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Andrea McKinney, O.D.NPI 1841549276

Title

Owner

Phone

(425) 771-2662

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Andrea McKinney, O.D.

  • Optometrist
  • Lynnwood, WA
  • NPI 1841549276
  Medicare reassignment Care Compare group NPD Authorized official
• Jacob Gilbar

  • Optometrist
  • Bellevue, WA
  • NPI 1124473764
  Medicare reassignment Care Compare group NPD
• Joshua Evans Brooks, OD

  • Optometrist
  • Fort Collins, CO
  • NPI 1306332101

  WA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1154867125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 196TH ST SW STE 14",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367091",
            "telephone_number": "425-772-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 196TH ST SW STE 14",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367091",
            "telephone_number": "425-772-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDERWOOD OPTOMETRIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-771-2662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60294865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023596",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Alcoba, LMHC
• Alderwood Ankle & Foot Clinic P.S.
• Alderwood Counseling Associates, PLLC
• Alderwood Family Dental, PLLC
• Alderwood Holdings Inc.
• Alderwood Psychological Services, Inc.
• Alderwood Superior Healthcare PLLC
• Alderwood Surgery Center LLC
• Alderwood Surgery Center LLC
• Alderwood Vision Clinic, Inc. P.S.

• Optometrist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.