Individual provider Active NPI

Sara Wees

  • Optometrist
  • Snohomish, WA
National Provider Identifier
1598836744
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00003316 Issued in WA
Practice address
13119 Seattle Hill Rd
BLDG 1 Ste 102
Snohomish, WA 98296-3400
Phone
(425) 332-2276
Fax
(425) 948-7892
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00003316 WA Primary

Addresses

Primary practice location

13119 Seattle Hill Rd
BLDG 1 Ste 102
Snohomish, WA 98296-3400

Mailing address

5121 120TH PL SE
Everett, WA 98208-9208
Phone (425) 316-9880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 4, 2021 through Nov 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00003316WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Duvall Advanced Family Eyecare, PS Optometrist CurrentSince Sep 30, 2019 Accepting new patients

Locations

14610 Main St NE
Ste 101
Duvall, WA 98019
Phone (425) 788-2990

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1598836744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 120TH PL SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982089208",
            "telephone_number": "425-316-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13119 SEATTLE HILL RD",
            "address_2": "BLDG 1 STE 102",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982963400",
            "telephone_number": "425-332-2276",
            "fax_number": "425-948-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEES",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

Verify at the official NPI Registry.