Jaime Wang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61276733 Issued in WA

Practice address

126 E 2ND St
North Bend, WA 98045-9175

Phone

(425) 831-2020

NPI assigned

Jul 26, 2019

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University of California - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Partners PLLCGroup PAC ID 7911120084, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyecare Partners, PLLC

  dba Arbor Eyecare

  • Corneal and Contact Management Optometrist
  • Snoqualmie, WA
  • NPI 1225251465
  Medicare reassignment Care Compare group NPD
• Eyecare Partners, PLLC

  dba Arbor Eyecare

  • Corneal and Contact Management Optometrist
  • Sammamish, WA
  • NPI 1235628579
  NPD
• Eyecare Partners, PLLC

  dba Arbor Eyecare

  • Corneal and Contact Management Optometrist
  • North Bend, WA
  • NPI 1689898777
  NPD (past)

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1538713672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E 2ND ST",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459175",
            "telephone_number": "985-641-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E 2ND ST",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459175",
            "telephone_number": "425-831-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22620 SE 4th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sammamish",
            "state": "WA",
            "postal_code": "980747375",
            "country_code": "US",
            "telephone_number": "425-242-6868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7726 Center Blvd SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Snoqualmie",
            "state": "WA",
            "postal_code": "980658749",
            "country_code": "US",
            "telephone_number": "425-831-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "JAIME",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61276733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2225979",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genealle Visagorskis, CCC-SLP
• Mikayla Paige Walrath
• Megan M Walsh, LISW
• Corrinna Walter
• Zachary Adam Walter, PHARMD
• Washington Counseling and Consulting PLLC
• Danielle Watson
• Kari Ann Weed, MS, CCC-SLP
• Vanessa L. Weiland, RN, APRN
• Erin Westaway, N.D.

• Optometrist in North Bend, WA
• Providers in North Bend, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.