Redmond Eye Doctors, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

801TX Issued in WA

Legal business name

REDMOND EYE DOCTORS, PLLC

Practice address

16375 NE 85TH St
Suite 102
Redmond, WA 98052-3554

Phone

(425) 885-7363

Fax

(425) 861-5585

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rania Montecillo, O.D.NPI 1659320539

Title

Owner

Phone

(425) 885-7363

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 4

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

• Rania B Montecillo, OD

  • Optometrist
  • Redmond, WA
  • NPI 1659320539
  Medicare reassignment Care Compare group Authorized official
• Robin D Gouin, O.D.

  • Optometrist
  • Redmond, WA
  • NPI 1558696203
  Medicare reassignment Care Compare group NPD
• John Iwao Kikuchi, O.D.

  • Optometrist
  • Seattle, WA
  • NPI 1437143922
  Medicare reassignment Care Compare group
• Jeffrey Alan Forrey, O.D.

  • Optometrist
  • Redmond, WA
  • NPI 1396793097
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1295783033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16375 NE 85TH ST",
            "address_2": "SUITE 102",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523554",
            "telephone_number": "425-885-7363",
            "fax_number": "425-861-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16375 NE 85TH ST",
            "address_2": "SUITE 102",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523554",
            "telephone_number": "425-885-7363",
            "fax_number": "425-861-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND EYE DOCTORS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "MONTECILLO",
        "authorized_official_first_name": "RANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-885-7363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "801TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caress Azzurra Redd, LMHC
• Redmond Ambulatory Surgery Center, LLC
• Redmond Back & Neck Care Clinic
• Redmond Back and Neck Pain Clinic
• Redmond Dental Center
• Redmond Family Care LLC
• Redmond Family Dentistry
• Redmond Herbal Spa LLC
• Redmond Internal Medicine Associates PLLC
• Redmond Market Place Chiropractic

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.