Oceanclear Eyecare, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60179790 Issued in WA

Legal business name

OCEANCLEAR EYECARE, INC

Practice address

4575 NE 4TH St Ste 2
Renton, WA 98059-5054

Phone

(425) 970-3230

Fax

(425) 970-3533

NPI assigned

Jan 12, 2013

Last updated

Feb 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendy Kuo-Eveland, O.D.NPI 1083915532

Title

Director

Phone

(425) 970-3230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

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.

• Wendy Kuo-Eveland, O.D.

  • Optometrist
  • Renton, WA
  • NPI 1083915532
  Medicare reassignment Care Compare group Authorized official
• Michael James Bernardi, OD

  • Optometrist
  • Renton, WA
  • NPI 1619696200
  Medicare reassignment Care Compare group NPD
• Andy Lai, OD

  • Optometrist
  • Renton, WA
  • NPI 1689234577
  Medicare reassignment NPD

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1598002453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 NE 4TH ST STE 2",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980595054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 NE 4TH ST STE 2",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980595054",
            "telephone_number": "425-970-3230",
            "fax_number": "425-970-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANCLEAR EYECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-12",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "KUO-EVELAND",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-970-3230",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60179790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Pereira O'Neill, LMP
• Jeanne Larayne Oak, LMP LICENCE MASSAGE
• Obtelecare Washington PC
• Alfred Ocampo
• Jennifer Ocampo
• Oculus Eyecare, Inc.
• Robert Leon Odegard, DDS, MAGD
• Mami Ogasawara-Whitehead, MA, LMHC
• Selamawit Ogbazghi
• Charles J Oh, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.