Organization Active NPI

Randi S McMichael OD PLLC

  • Health Service Clinic/Center
  • Bellevue, WA
National Provider Identifier
1326558800
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
60686871 Issued in WA
Legal business name
RANDI S MCMICHAEL OD PLLC
Practice address
15600 NE 8TH St # F13A
Bellevue, WA 98008-3927
Phone
(425) 641-7482
Fax
(425) 505-2156
NPI assigned
Oct 10, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Randi Sara McMichael, OD
Title
Optometrist
Phone
(425) 641-7482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 60686871 WA Primary

Addresses

Primary practice location

15600 NE 8TH St # F13A
Bellevue, WA 98008-3927

Mailing address

10422 28TH Ave SW
Seattle, WA 98146-1212

Other practice location 1

15600 NE 8th St # F13A
Bellevue, WA 98008-3927
Phone (425) 641-7482

Other identifiers 1

IdentifierTypeStateIssuer
1902263742Other1902263742

National Provider Directory

National Provider Directory

Locations

15600 NE 8th St
Ste F13A
Bellevue, WA 98008
Phone (425) 641-7311

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1326558800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10422 28TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 NE 8TH ST # F13A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083927",
            "telephone_number": "425-641-7482",
            "fax_number": "425-505-2156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15600 NE 8th St # F13A",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980083927",
            "country_code": "US",
            "telephone_number": "425-641-7482",
            "fax_number": "425-505-2156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RANDI S MCMICHAEL OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MCMICHAEL",
        "authorized_official_first_name": "RANDI",
        "authorized_official_middle_name": "SARA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "425-641-7482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "60686871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1902263742",
            "identifier": "1902263742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.