Active NPI
Island Family Eyecare, P.C.
- Optometrist
- Bainbridge Island, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3687
- Legal business name
- ISLAND FAMILY EYECARE, P.C.
- Practice address
- 164 Winslow Way W
Bainbridge Island, WA 98110-2512 - Phone
- (206) 842-2015
- Fax
- (206) 842-3047
- NPI assigned
- Jun 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott W Brase, O.D.
- Title
- VP
- Phone
- (206) 842-2015
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3687 | WA | Primary |
Addresses
Primary practice location
164 Winslow Way W
Bainbridge Island, WA 98110-2512
Mailing address
164 Winslow Way W
Bainbridge Island, WA 98110-2512
Phone (206) 842-2015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
290 Madison Ave N
Ste 102
Bainbridge Island, WA 98110
Phone (206) 842-2015
164 Winslow Way W
Bainbridge Island, WA 98110
Phone (206) 842-2015
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bainbridge Island, WA
- NPI 1265516074
-
- Optometrist
- Seattle, WA
- NPI 1336981679
-
- Optometrist
- Bainbridge Island, WA
- NPI 1265516090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312502400000",
"number": "1245525336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 WINSLOW WAY W",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102512",
"telephone_number": "206-842-2015",
"fax_number": "206-842-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 WINSLOW WAY W",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981102512",
"telephone_number": "206-842-2015",
"fax_number": "206-842-3047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND FAMILY EYECARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-16",
"last_updated": "2011-08-05",
"status": "A",
"authorized_official_last_name": "BRASE",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "206-842-2015",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "3687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.