Organization Active NPI

Grady M. Hughes

Doing business as Seattle Eye Care

  • Ophthalmology Physician
  • Seattle, WA
National Provider Identifier
1417097031
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GRADY M. HUGHES
Doing business as
Seattle Eye Care
Practice address
1600 E Jefferson St
Suite 202
Seattle, WA 98122-5698
Phone
(206) 320-5686
Fax
(206) 320-8145
NPI assigned
Feb 7, 2007
Last updated
Apr 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Grady M. HughesNPI 1790825313
Title
Owner
Phone
(206) 320-5686

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
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1600 E Jefferson St
Suite 202
Seattle, WA 98122-5698

Mailing address

1600 E Jefferson St
Suite 202
Seattle, WA 98122-5698
Phone (206) 320-5686

Other identifiers 4

IdentifierTypeStateIssuer
8240814MedicaidWA
77260OtherWAL&I-HUGHES
1117662MedicaidWA
129181OtherWAL&I-ZOLLMAN

Other names 1

  • Seattle Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308000869 WA Part B Supplier - Clinic/Group Practice 8426946823 Receives reassigned benefits from 6 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

1600 E Jefferson St
Ste 202
Seattle, WA 98122
Phone (206) 320-5686

Practitioners & affiliated clinicians

Practitioners 6

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1417097031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E JEFFERSON ST",
            "address_2": "SUITE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225698",
            "telephone_number": "206-320-5686",
            "fax_number": "206-320-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E JEFFERSON ST",
            "address_2": "SUITE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225698",
            "telephone_number": "206-320-5686",
            "fax_number": "206-320-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY M. HUGHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "GRADY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-320-5686"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8240814",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-HUGHES",
            "identifier": "77260",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117662",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I-ZOLLMAN",
            "identifier": "129181",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seattle Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.