Individual provider Active NPI

Laura Marie Periman, MD

  • Ophthalmology Physician
  • Seattle, WA
National Provider Identifier
1376755009
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00039796 Issued in WA
Practice address
100 West Harrison Street, North Tower
Suite 360
Seattle, WA 98119
Phone
(206) 347-0821
Fax
(206) 580-4003
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0120X MD00039796 WA
Ophthalmology Physician 207W00000X MD00039796 WA Primary

Addresses

Primary practice location

100 West Harrison Street, North Tower
Suite 360
Seattle, WA 98119

Mailing address

623 W Highland Dr
Seattle, WA 98119-3446
Phone (206) 234-9846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 9, 2021 through Apr 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00039796WAMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Eye Center, PLLC Past Accepting new patients
Jeff Binstock, DVM, OD, Faao, PLLC Single Specialty PastSince Jan 1, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laura.periman@224584069939204.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1376755009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W HIGHLAND DR",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193446",
            "telephone_number": "206-234-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST HARRISON STREET, NORTH TOWER",
            "address_2": "SUITE 360",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98119",
            "telephone_number": "206-347-0821",
            "fax_number": "206-580-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIMAN",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "WA",
            "license": "MD00039796",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00039796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.