Northwest Washington Eye Specialists

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

MD00029567 Issued in WA

Legal business name

NORTHWEST WASHINGTON EYE SPECIALISTS

Practice address

1724 West Marine View Drive
Suite 130
Everett, WA 98201-2088

Phone

(425) 252-2333

NPI assigned

May 9, 2007

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Venedict Osetinsky, MDNPI 1407920440

Title

President Owner

Phone

(425) 252-2333

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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.

• Michael Venedict Osetinsky, MD

  • Ophthalmology Physician
  • Everett, WA
  • NPI 1407920440
  Medicare reassignment NPD Authorized official
• Haoxing Jin, M.D.

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1750822177

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1447464573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 WEST MARINE VIEW DRIVE",
            "address_2": "SUITE 130",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012088",
            "telephone_number": "425-252-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 WEST MARINE VIEW DRIVE",
            "address_2": "SUITE 130",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012088",
            "telephone_number": "425-252-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST WASHINGTON EYE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "OSETINSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VENEDICT",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "425-252-2333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD000029567",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WA",
            "license": "MD00029567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Norton, MA
• Catherine D Norton, ARNP

• Retina Specialist (Ophthalmology) Physician in Everett, WA
• Providers in Everett, WA by specialty
• Retina Specialist (Ophthalmology) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.