The Eyewear Gallery

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

MD00022352 Issued in WA

Legal business name

THE EYEWEAR GALLERY

Practice address

1920 116TH Ave NE
Bellevue, WA 98004-3012

Phone

(425) 454-3937

Fax

(425) 646-5914

NPI assigned

Jul 25, 2006

Organization subpart

Yes

Parent organization

HOWARD S BARNEBEYAs reported in NPPES

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

Authorized official

Name

Susan Mansoori

Title

HR Manager

Phone

(425) 454-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Specialty Eyecare Centre Other name

Tax ID family

The Eyewear Gallery2 organizations share this tax ID, including this one

Part of

The Eyewear Gallery

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Howard S. Barnebey, M.D.

  • Optometrist
  • Bellevue, WA
  • NPI 1588738124
  NPD tax ID

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1316969330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043012",
            "telephone_number": "425-454-3937",
            "fax_number": "425-646-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043012",
            "telephone_number": "425-454-3937",
            "fax_number": "425-646-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYEWEAR GALLERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOWARD S BARNEBEY",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "MANSOORI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "425-454-3937"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "MD00022352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0422940002",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Eyecare Centre",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Customized Equipment (DME) in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Customized Equipment (DME) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.