NPIMap

Organization Active NPI

King and Mockovak Eye Center, Inc., P.S.

Doing business as Clearly Lasik

  • Optometrist
  • Renton, WA
National Provider Identifier
1417135567
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4048 Issued in WA
Legal business name
KING AND MOCKOVAK EYE CENTER, INC., P.S.
Doing business as
Clearly Lasik
Practice address
900 SW 16TH St
Suite 200
Renton, WA 98057-2631
Phone
(425) 525-2202
NPI assigned
Jan 31, 2008
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Christian Monea
Title
Cfo
Phone
(425) 525-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4048 WA Primary

Addresses

Primary practice location

900 SW 16TH St
Suite 200
Renton, WA 98057-2631

Mailing address

900 SW 16TH St
Suite 200
Renton, WA 98057-2631
Phone (425) 525-2202

Other names 1

  • Clearly Lasik Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clearly Lasik Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1417135567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SW 16TH ST",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572631",
            "telephone_number": "425-525-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SW 16TH ST",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572631",
            "telephone_number": "425-525-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING AND MOCKOVAK EYE CENTER, INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "MONEA",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "425-525-2202"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "4048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearly Lasik",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.