Blue Wave Eye Doctors Professional Limited Liability Company

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY

Doing business as

Visionworks Doctors of Optometry

Practice address

305 SE Everett Mall Way Ste 21
Everett, WA 98208-3250

Phone

(425) 386-8428

Fax

(425) 267-0575

NPI assigned

Feb 24, 2022

Organization subpart

No

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

Authorized official

Name

Gulroop Hansra, OD

Title

President

Phone

(726) 444-4078

Specialties & licenses 1

Addresses

Other names 1

• Visionworks Doctors of Optometry Doing business as

Tax ID family

Eyemasters Inc63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Blue Wave Eye Doctors Professional Limited Liability Company

  dba Visionworks Doctors of Optometry

  • Eyewear Supplier
  • Tacoma, WA
  • NPI 1023743283
  NPD tax ID

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1225784515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HOUSTON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SE EVERETT MALL WAY STE 21",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083250",
            "telephone_number": "425-386-8428",
            "fax_number": "425-267-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "HANSRA",
        "authorized_official_first_name": "GULROOP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "726-444-4078",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nora L Bloomingdale, PSYD
• Marci Lynn Bloomquist, RC
• Blossom Mental Health Services, PLLC
• Riddhi Blow, N.D.
• Blue Wave Eye Doctors Professional Limited Liability Company
• Susan M Blue, ARNP
• Katherine Ruth Blum, M.A.
• Amelyn Bober
• Samantha Jo Bobin, DPT
• Maryanne Bockman, PA-C

• Eyewear Supplier in Everett, WA
• Providers in Everett, WA by specialty
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.