NPIMap

Organization Active NPI

Roy Bartlett DO PS

Doing business as Bartlett Eye and Laser Clinic

  • Ophthalmology Physician
  • Bothell, WA
National Provider Identifier
1356551329
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OP00000732 Issued in WA
Legal business name
ROY BARTLETT DO PS
Doing business as
Bartlett Eye and Laser Clinic
Practice address
14050 Juanita Dr NE
Suite a
Bothell, WA 98011-5308
Phone
(425) 820-2020
NPI assigned
May 22, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Roy William Bartlett, D.O.NPI 1689664948
Title
Owner
Phone
(425) 820-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003802 WA
Ophthalmology Physician 207W00000X OP00000732 WA Primary

Addresses

Primary practice location

14050 Juanita Dr NE
Suite a
Bothell, WA 98011-5308

Mailing address

14050 Juanita Dr NE
Suite a
Bothell, WA 98011-5308
Phone (425) 820-2020

Other names 1

  • Bartlett Eye and Laser Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1356551329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 JUANITA DR NE",
            "address_2": "SUITE A",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115308",
            "telephone_number": "425-820-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 JUANITA DR NE",
            "address_2": "SUITE A",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115308",
            "telephone_number": "425-820-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY BARTLETT DO PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-820-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003802",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "OP00000732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartlett Eye and Laser Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.