Susan P Wynne PLLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

SUSAN P WYNNE PLLC

Doing business as

Eastside Vision Care

Practice address

15600 Redmond Way
#300
Redmond, WA 98052

Phone

(425) 882-2923

Fax

(425) 968-8930

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Susan Wynne, O.D.NPI 1962448621

Title

Owner

Phone

(425) 882-2923

Specialties & licenses 2

Addresses

Other names 1

• Eastside Vision Care Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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.

• Susan P Wynne, O.D.

  • Corneal and Contact Management Optometrist
  • Redmond, WA
  • NPI 1962448621
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1568471001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 REDMOND WAY",
            "address_2": "#300",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98052",
            "telephone_number": "425-882-2923",
            "fax_number": "425-968-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 REDMOND WAY",
            "address_2": "#300",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "98052",
            "telephone_number": "425-882-2923",
            "fax_number": "425-968-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN P WYNNE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-882-2923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra J. Sultan, M.D.
• Michael C Sun, RPH
• Danette Marie Sundberg, MA, LMHC
• Samantha Sundberg
• Eleah Sunde, PHD
• Cynthia L Svensson, PT, DPT
• Albaraa Swaid, DDS MS
• Andrea Swanson, MA
• Kristine Lynn Swanson, DI
• Marissa Swanson

• Corneal and Contact Management Optometrist in Redmond, WA
• Providers in Redmond, WA by specialty
• Corneal and Contact Management Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.