Bright Eyes, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60095437 Issued in WA

Legal business name

BRIGHT EYES, INC.

Practice address

11314 NE 124TH St
Kirkland, WA 98034-4303

Phone

(425) 821-5050

Fax

(425) 821-0508

NPI assigned

Aug 11, 2011

Organization subpart

No

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

Authorized official

Name

Justin Jue, ODNPI 1528296811

Title

President

Phone

(206) 355-0282

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Juanita Vision Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Blake Jue, O.D.

  • Optometrist
  • Covington, WA
  • NPI 1528296811
  Medicare reassignment NPD Authorized official
• J R Crown, O.D.

  • Optometrist
  • Seattle, WA
  • NPI 1518059088
  Medicare reassignment NPD
• Natalie Lam, O.D.

  • Optometrist
  • Issaquah, WA
  • NPI 1578705240
  Medicare reassignment NPD

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1295014041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11314 NE 124TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344303",
            "telephone_number": "425-821-5050",
            "fax_number": "425-821-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11314 NE 124TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344303",
            "telephone_number": "425-821-5050",
            "fax_number": "425-821-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT EYES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "JUE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-355-0282",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60095437",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60017736",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - INDIVIDUAL",
            "identifier": "1528296811",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juanita Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian J. Dolgoff & Associates PS
• Aryn Brianvil
• Bridge the Gap Physical Therapy, LLC
• Bridle Trails Physical Therapy and Athletic Training LLC
• Donald A Briggs, BS, RPH
• Geraldine Pearl Bright, LMP
• Anna Grace Brillault-Kenny
• Amanda Erin Brimhall, N.D.
• Margaret Brimhall
• Lindsey Briscoe

• Optometrist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.