Individual provider Active NPI

Jing Zeng

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1184032864
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60470000 Issued in WA
Practice address
12301 NE 10TH PL Ste 200
Bellevue, WA 98005-2487
Phone
(425) 450-2020
Fax
(425) 688-0620
NPI assigned
Jul 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60470000 WA Primary
Optometrist 152W00000X 15173 CA

Addresses

Primary practice location

12301 NE 10TH PL Ste 200
Bellevue, WA 98005-2487

Mailing address

12301 NE 10TH PL Ste 200
Bellevue, WA 98005-2487

Other names 1

  • Jing Wickenburg Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170224002350 WA Practitioner - Optometry 3870812043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Vision Institute PLLCGroup PAC ID 5597809236, 7 clinicians

Practice addresses (Care Compare)

12301 NE 10TH PL
Suite 200
Bellevue, WA 98005-2487
Phone 4254502020245

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15173CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Vision Institute, PLLC CurrentSince Apr 1, 2017 Accepting new patients
Northwest Vision Institute, PLLC CurrentSince Apr 1, 2017 Accepting new patients

Locations

12301 NE 10th Pl
Ste 200
Bellevue, WA 98005
Phone (425) 450-2020

13122 120th Ave NE
Kirkland, WA 98034
Phone (425) 678-8534

Interoperability endpoints

  • Direct secure messaging: jwickenburg@nvi.intellechartdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1184032864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 NE 10TH PL STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 NE 10TH PL STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052487",
            "telephone_number": "425-450-2020",
            "fax_number": "425-688-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENG",
        "first_name": "JING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60470000",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JING",
            "last_name": "WICKENBURG",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.