Individual provider Active NPI

Arash Eslami, O.D.

  • Optometrist
  • Everett, WA
National Provider Identifier
1275897910
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60351117 Issued in WA
Practice address
6320 Evergreen Way
Ste 206a
Everett, WA 98203-4560
Phone
(425) 309-7084
Fax
(425) 309-7083
NPI assigned
Jun 27, 2012
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 60351117 WA
Optometrist 152W00000X 60351117 WA Primary

Addresses

Primary practice location

6320 Evergreen Way
Ste 206a
Everett, WA 98203-4560

Mailing address

1922 204TH St SW
Lynnwood, WA 98036-7027
Phone (425) 309-7084

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
I20131017000989 WA Practitioner - Optometry 2860626272 Reassigns benefits to 1 organization
Practice locations: Everett, WA; Quil Ceda Village, WA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Stephen Nevett and Associates PCGroup PAC ID 0648468975, 10 clinicians

Practice addresses (Care Compare)

401 NE Northgate Way
SPC 1101
Seattle, WA 98125-8538
Phone (206) 364-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60351117WAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Stephen Nevett and Associates, P.C. Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Vision Plus Burlington, PLLC Optometrist PastSince Jan 31, 2019 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

11901 NE Village Plz
Ste 169
Kirkland, WA 98034
Phone (425) 602-6152

401 NE Northgate Way
Spc 1101
Seattle, WA 98125
Phone (206) 364-1668

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1275897910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 204TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367027",
            "telephone_number": "425-309-7084",
            "fax_number": "425-309-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 EVERGREEN WAY",
            "address_2": "STE 206A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982034560",
            "telephone_number": "425-309-7084",
            "fax_number": "425-309-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESLAMI",
        "first_name": "ARASH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "WA",
            "license": "60351117",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60351117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.