Organization Active NPI

Washington Eye Care PLLC

  • Ophthalmology Physician
  • Bellevue, WA
National Provider Identifier
1194095752
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00047239 Issued in WA
Legal business name
WASHINGTON EYE CARE PLLC
Practice address
12600 SE 38TH St
Suite 108
Bellevue, WA 98006-6105
Phone
(425) 298-5005
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Benson Chen, M.D.NPI 1306906722
Title
Ophthalmologist
Phone
(206) 498-8000

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD00047239 WA Primary

Addresses

Primary practice location

12600 SE 38TH St
Suite 108
Bellevue, WA 98006-6105

Mailing address

12600 SE 38TH St
Suite 108
Bellevue, WA 98006-6105

Other identifiers 2

IdentifierTypeStateIssuer
2016663MedicaidWA
1306906722OtherWANPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120402000424 WA Part B Supplier - Clinic/Group Practice 0042470817 Receives reassigned benefits from 2 practitioners
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

12600 SE 38th St
Bellevue, WA 98006
Phone (425) 746-9789

Practitioners & affiliated clinicians

Practitioners 2

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": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1194095752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 SE 38TH ST",
            "address_2": "SUITE 108",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 SE 38TH ST",
            "address_2": "SUITE 108",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066105",
            "telephone_number": "425-298-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "BENSON",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "206-498-8000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00047239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016663",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306906722",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.