NPIMap

Organization Active NPI

Eye Associates Northwest, PLLC

  • Eyewear Supplier
  • Seattle, WA
National Provider Identifier
1225005697
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE ASSOCIATES NORTHWEST, PLLC
Practice address
1101 Madison St
Ste 600
Seattle, WA 98104-1306
Phone
(206) 215-2020
Fax
(206) 386-2047
NPI assigned
Mar 3, 2006
Organization subpart
Yes
Parent organization
EYE ASSOCIATES NORTHWEST, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Rosa A Campos
Title
Credentialing Manager
Phone
(206) 215-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1101 Madison St
Ste 600
Seattle, WA 98104-1306

Mailing address

1101 Madison St
Ste 600
Seattle, WA 98104-1306
Phone (206) 215-2020

Other names 1

  • Madison Avenue Optical Doing business as

National Provider Directory

National Provider Directory
Part of
Eye Associates Northwes

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1225005697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041306",
            "telephone_number": "206-215-2020",
            "fax_number": "206-386-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041306",
            "telephone_number": "206-215-2020",
            "fax_number": "206-386-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES NORTHWEST, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE ASSOCIATES NORTHWEST, PLLC",
        "enumeration_date": "2006-03-03",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "206-215-2004"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Avenue Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madison Avenue Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.