Northwest Eye Design LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

601849199 Issued in WA

Legal business name

NORTHWEST EYE DESIGN LLC

Practice address

12911 120TH Ave NE
Suite C-10
Kirkland, WA 98034

Phone

(425) 823-1861

Fax

(425) 823-1522

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Christie A Erickson, BCO, BADONPI 1528004769

Title

Licensed Ocularist

Phone

(425) 823-1861

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Erickson Labs Northwest LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Christie Ann Erickson, BCO

  • Ocularist
  • Kirkland, WA
  • NPI 1528004769
  NPD (past) Authorized official
• Todd Alan Cranmore, BCO

  • Ocularist
  • Kirkland, WA
  • NPI 1215979836
  NPD

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1356523567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE",
            "address_2": "SUITE C-10",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343027",
            "telephone_number": "425-823-1861",
            "fax_number": "425-823-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE",
            "address_2": "SUITE C-10",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-823-1861",
            "fax_number": "425-823-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EYE DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED OCULARIST",
        "authorized_official_telephone_number": "425-823-1861",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCO, BADO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": "601849199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9045758",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erickson Labs Northwest LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivonne Norman
• Mollie Norris, PT
• Edward R North, M.D.
• Northup Group LLC.
• Northwest Center for Change
• Northwest Kidney Centers
• Northwest Nasal Sinus ASC
• Northwest Nasal Sinus Center
• Northwest Nasal Sinus Center
• Northwest Nasal Sinus Center

• Prosthetic/Orthotic Supplier in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Prosthetic/Orthotic Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.