Active NPI
Optix Eyewear, Inc
- Optometrist
- Redmond, WA
National Provider Identifier
1609046101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1077TX
- Legal business name
- OPTIX EYEWEAR, INC
- Practice address
- 16560 NE 74TH St
Redmond, WA 98052-7804 - Phone
- (425) 558-4500
- Fax
- (425) 895-9520
- NPI assigned
- Mar 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert B Collins, OD
- Title
- Ceo
- Phone
- (425) 558-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1077TX | WA | Primary |
Addresses
Primary practice location
16560 NE 74TH St
Redmond, WA 98052-7804
Mailing address
16560 NE 74TH St
Redmond, WA 98052-7804
Phone (425) 558-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7425 166th Ave NE
Ste C220
Redmond, WA 98052
Phone (425) 558-4500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Lynnwood, WA
- NPI 1043482177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1609046101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16560 NE 74TH ST",
"city": "REDMOND",
"state": "WA",
"postal_code": "980527804",
"telephone_number": "425-558-4500",
"fax_number": "425-895-9520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16560 NE 74TH ST",
"city": "REDMOND",
"state": "WA",
"postal_code": "980527804",
"telephone_number": "425-558-4500",
"fax_number": "425-895-9520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIX EYEWEAR, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-11",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "425-558-4500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "1077TX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.