Individual provider Active NPI

Eric Sune Norrgard, LICENSED OPTICIAN

  • Optician
  • Woodinville, WA
National Provider Identifier
1497961924
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
835 Issued in WA
Practice address
17423 139TH Ave NE
Woodinville, WA 98072-8519
Phone
(425) 485-2600
Fax
(425) 485-2526
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 835 WA Primary

Addresses

Primary practice location

17423 139TH Ave NE
Woodinville, WA 98072-8519

Mailing address

17423 139TH Ave NE
Woodinville, WA 98072-8519
Phone (425) 485-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
835WAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Optometric Physicians PLLC PastSince Jan 1, 2017 Accepting new patients
Norrgard'S Optik Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497961924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17423 139TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728519",
            "telephone_number": "425-485-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17423 139TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728519",
            "telephone_number": "425-485-2600",
            "fax_number": "425-485-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRGARD",
        "first_name": "ERIC",
        "middle_name": "SUNE",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.