Expressions in Eyewear, Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

EXPRESSIONS IN EYEWEAR, INC

Practice address

14011 NE Woodinville Duvall Rd
Suite a-6
Woodinville, WA 98072-8504

Phone

(425) 487-2744

Fax

(425) 489-8562

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Glenn Blackstock, LDO

Title

President

Phone

(425) 487-2744

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386789584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14011 NE WOODINVILLE DUVALL RD",
            "address_2": "SUITE A-6",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728504",
            "telephone_number": "425-487-2744",
            "fax_number": "425-489-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 NE WOODINVILLE DUVALL RD",
            "address_2": "SUITE A-6",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728504",
            "telephone_number": "425-487-2744",
            "fax_number": "425-489-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESSIONS IN EYEWEAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKSTOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-487-2744",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorri Lee Enwall, LMP
• Judith Epstein, ARNP
• Tom Erickson, Ma, CSP, NCC, LMHC, LMHC
• Courtney Evans
• Kody Lee Evans
• Kyoko Nakamura Falk
• Elizabeth Falls
• Peiwen Wang Fannin, EAMP, LAC
• Elizabeth Faulkner, RPH
• Ghazaleh Feghhi

• Non-Pharmacy Dispensing Site in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Non-Pharmacy Dispensing Site in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.