Individual provider Active NPI

Eric Vo, O.D.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1467748053
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60234896 Issued in WA
Practice address
4401 4TH Ave S
Seattle, WA 98134-2311
Phone
(206) 403-2027
NPI assigned
Jun 22, 2011
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60234896 WA Primary

Addresses

Primary practice location

4401 4TH Ave S
Seattle, WA 98134-2311

Mailing address

18910 Bothell Everett Hwy
#L1
Bothell, WA 98012-5200
Phone (626) 975-9392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815002998 WA Practitioner - Optometry 4880921774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric Vo OD LLCGroup PAC ID 5193052074, 5 clinicians

Practice addresses (Care Compare)

4401 4TH Ave S
Seattle, WA 98134-2311
Phone (206) 403-2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60234896WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Vo OD LLC Optometrist CurrentSince Jun 1, 2019 Accepting new patients

Locations

4401 4th Ave S
Seattle, WA 98134
Phone (206) 403-2027

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1467748053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18910 BOTHELL EVERETT HWY",
            "address_2": "#L1",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980125200",
            "telephone_number": "626-975-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 4TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981342311",
            "telephone_number": "206-403-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "ERIC",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60234896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.