NPIMap

Organization Active NPI

Pacific Eyecare Professionals Inc

Doing business as advanced eyecare of mukilteo

  • Optometrist
  • Mukilteo, WA
National Provider Identifier
1518100098
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00004115 Issued in WA
Legal business name
PACIFIC EYECARE PROFESSIONALS INC
Doing business as
advanced eyecare of mukilteo
Practice address
11700 Mukilteo Speedway
#501
Mukilteo, WA 98275-5432
Phone
(425) 315-8300
NPI assigned
Apr 13, 2009
Last updated
Apr 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Dr. Seema Bali-Sharma, O.D.NPI 1629166772
Title
Secretary
Phone
(425) 315-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00004115 WA Primary

Addresses

Primary practice location

11700 Mukilteo Speedway
#501
Mukilteo, WA 98275-5432

Mailing address

11700 Mukilteo Speedway
#501
Mukilteo, WA 98275-5432
Phone (425) 315-8300

Other names 1

  • advanced eyecare of mukilteo Doing business as

National Provider Directory

National Provider Directory

Locations

15650 NE 24th St
Ste B
Bellevue, WA 98008
Phone (425) 215-0255

11700 Mukilteo Speedway
#50
Mukilteo, WA 98275

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1518100098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 MUKILTEO SPEEDWAY",
            "address_2": "#501",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755432",
            "telephone_number": "425-315-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 MUKILTEO SPEEDWAY",
            "address_2": "#501",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755432",
            "telephone_number": "425-315-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EYECARE PROFESSIONALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "BALI-SHARMA",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "425-315-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00004115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "advanced eyecare of mukilteo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mukilteo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.