Organization Active NPI

Northwest Family Eye Care PLLC

Doing business as Northwest Family Eye Care

  • Optometrist
  • Renton, WA
National Provider Identifier
1285220541
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NORTHWEST FAMILY EYE CARE PLLC
Doing business as
Northwest Family Eye Care
Practice address
225 Logan Ave S Ste 50
Renton, WA 98057-2079
Phone
(425) 226-3444
NPI assigned
Dec 21, 2020
Last updated
Apr 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

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

Authorized official

Name
Gurpinderjeet Kaur, ODNPI 1871889394
Title
Optometrist
Phone
(440) 570-3694

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
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

225 Logan Ave S Ste 50
Renton, WA 98057-2079

Mailing address

15512 SE 255TH St
Covington, WA 98042-4190

Other identifiers 1

IdentifierTypeStateIssuer
1871889394OtherWAD-NPI

Other names 1

  • Northwest Family Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210511000592 WA Part B Supplier - Clinic/Group Practice 5991114613 Receives reassigned benefits from 2 practitioners
Practice locations: Renton, WA

National Provider Directory

National Provider Directory

Locations

225 Logan Ave S
Ste 50
Renton, WA 98057
Phone (425) 226-3444

229 Logan Ave S
Renton, WA 98057

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680307200000",
    "number": "1285220541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15512 SE 255TH ST",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 LOGAN AVE S STE 50",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572079",
            "telephone_number": "425-226-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FAMILY EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "GURPINDERJEET",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "440-570-3694",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D-NPI",
            "identifier": "1871889394",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2023; 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.