Organization Active NPI

Global Eyecare

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1366858417
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60035981 Issued in WA
Legal business name
GLOBAL EYECARE
Practice address
12400 SE 38TH St # 53083
Bellevue, WA 98006-1202
Phone
(917) 727-9424
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2017

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

Authorized official

Name
Dr. Eric ChangNPI 1427207216
Title
Optometric Physician
Phone
(917) 727-9424

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD60035981 WA Primary

Addresses

Primary practice location

12400 SE 38TH St # 53083
Bellevue, WA 98006-1202

Mailing address

22530 SE 64TH Place
Ste 140
Issaquah, WA 98027

Other names 1

  • Issaquah Optometric Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171026002178 WA Part B Supplier - Clinic/Group Practice 4789950395 Receives reassigned benefits from 1 practitioner
Practice locations: Issaquah, WA

National Provider Directory

National Provider Directory

Locations

12400 SE 38th St
#53083
Bellevue, WA 98006
Phone (917) 727-9424

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1366858417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22530 SE 64TH PLACE",
            "address_2": "STE 140",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "98027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 SE 38TH ST # 53083",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061202",
            "telephone_number": "917-727-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "917-727-9424",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60035981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Issaquah Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 10, 2017; 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.