Justin Blake Jue, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60095437 Issued in WA

Practice address

27520 Covington Way SE
Covington, WA 98042

Phone

(253) 796-1015

NPI assigned

Jun 25, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bright Eyes, Inc.

  • Optometrist
  • Kirkland, WA
  • NPI 1295014041
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1528296811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11314 NE 124TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344303",
            "telephone_number": "425-821-5050",
            "fax_number": "425-820-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27520 COVINGTON WAY SE",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "98042",
            "telephone_number": "253-796-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUE",
        "first_name": "JUSTIN",
        "middle_name": "BLAKE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60095437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek N Johnston, PHARMD
• Luyen P Jones, L.M.P.
• Magdalena Jones, PT, DPT
• Jamila Jordan
• Josh and Laurel Weed LLC
• Julia a Richman DDS MSD PLLC
• Logan Kabance
• Blanka Karasek, RPH
• Lindsay A Karns, MA60179128
• Jeffrey Earl Kashner, DDS,MSD

• Optometrist in Covington, WA
• Providers in Covington, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.