Organization Active NPI

Alderwood Vision Therapy and Development PLLC

Doing business as Alderwood Vision Therapy and Development

  • Vision Therapy Optometrist
  • Lynnwood, WA
National Provider Identifier
1487462180
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
Legal business name
ALDERWOOD VISION THERAPY AND DEVELOPMENT PLLC
Doing business as
Alderwood Vision Therapy and Development
Practice address
16006 Ash Way Ste 101
Lynnwood, WA 98087-6352
Phone
(425) 787-5200
NPI assigned
Dec 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Christina Schiller, ODNPI 1841606738
Title
Owner
Phone
(425) 787-5200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X Primary

Addresses

Primary practice location

16006 Ash Way Ste 101
Lynnwood, WA 98087-6352

Mailing address

16006 Ash Way Ste 101
Lynnwood, WA 98087-6352

Other names 1

  • Alderwood Vision Therapy and Development Doing business as

National Provider Directory

National Provider Directory

Locations

16006 Ash Way
Ste 101
Lynnwood, WA 98087
Phone (425) 787-5200

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1487462180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16006 ASH WAY STE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16006 ASH WAY STE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876352",
            "telephone_number": "425-787-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDERWOOD VISION THERAPY AND DEVELOPMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "SCHILLER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-787-5200",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alderwood Vision Therapy and Development",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.