NPIMap

Organization Active NPI

North Cascade Eye Associates PS

  • Ophthalmology Physician
  • Coupeville, WA
National Provider Identifier
1518495282
Registry record updated May 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NORTH CASCADE EYE ASSOCIATES PS
Practice address
109 NE Birch St
Coupeville, WA 98239-3133
Phone
(360) 678-2020
NPI assigned
May 25, 2017
Last updated
May 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2017

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

Authorized official

Name
Nannette Crowell, MDNPI 1154368538
Title
Owner
Phone
(360) 416-6735

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
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

109 NE Birch St
Coupeville, WA 98239-3133

Mailing address

2100 Little Mountain LN
Mount Vernon, WA 98274-8752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180516001117 WA DME Supplier - Physician - Ophthalmology 5991699498 Practice locations: Coupeville, WA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
North Cascade Eye Associates PS5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1930 Market St
Ste A
Mount Vernon, WA 98273

2131 Hospital Dr
Bldg C
Sedro Woolley, WA 98284

8718 270th St NW
Stanwood, WA 98292

Practitioners & affiliated clinicians

Practitioners 10

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": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1518495282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LITTLE MOUNTAIN LN",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NE BIRCH ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393133",
            "telephone_number": "360-678-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CASCADE EYE ASSOCIATES PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "CROWELL",
        "authorized_official_first_name": "NANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-416-6735",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coupeville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.