NPIMap

Organization Active NPI

Vanessa Michel PLLC

Doing business as Redmond Ridge Eye Care

  • Optometrist
  • Redmond, WA
National Provider Identifier
1437480456
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3908 Issued in WA
Legal business name
VANESSA MICHEL PLLC
Doing business as
Redmond Ridge Eye Care
Practice address
23535 NE Novelty Hill Rd
D302
Redmond, WA 98053-5502
Phone
(425) 898-9222
Fax
(425) 898-9225
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Dr. Vanessa G Michel, O.D.NPI 1053426866
Title
Optometrist/Owner
Phone
(425) 898-9222

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 3908 WA Primary

Addresses

Primary practice location

23535 NE Novelty Hill Rd
D302
Redmond, WA 98053-5502

Mailing address

23535 NE Novelty Hill Rd
D302
Redmond, WA 98053-5502
Phone (425) 898-9222

Other names 1

  • Redmond Ridge 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
O20100427000224 WA Part B Supplier - Clinic/Group Practice 9234266065 Receives reassigned benefits from 4 practitioners
Practice locations: Redmond, WA; Sammamish, WA

National Provider Directory

National Provider Directory

Locations

23535 NE Novelty Hill Rd
#D302
Redmond, WA 98053
Phone (425) 898-9222

602 228th Ave NE
Sammamish, WA 98074
Phone (425) 836-5352

Practitioners & affiliated clinicians

Practitioners 11

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": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1437480456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23535 NE NOVELTY HILL RD",
            "address_2": "D302",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535502",
            "telephone_number": "425-898-9222",
            "fax_number": "425-898-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23535 NE NOVELTY HILL RD",
            "address_2": "D302",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535502",
            "telephone_number": "425-898-9222",
            "fax_number": "425-898-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA MICHEL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "425-898-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redmond Ridge Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.