Individual provider Active NPI

Erica Uman, OD

  • Optometrist
  • Seattle, WA
National Provider Identifier
1629613146
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD611324421 Issued in WA
Practice address
1101 Madison St Ste 600
Seattle, WA 98104-1340
Phone
(206) 215-2020
Fax
(206) 215-2022
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34457 CA
Optometrist 152W00000X OD611324421 WA Primary

Addresses

Primary practice location

1101 Madison St Ste 600
Seattle, WA 98104-1340

Mailing address

1101 Madison St Ste 600
Seattle, WA 98104-1340
Phone (206) 215-2020

Other identifiers 1

IdentifierTypeStateIssuer
OD61132421OtherWASTATE LICENSE

Other names 1

  • Erica Arkiszewski Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210615001144 WA Practitioner - Optometry 9638504749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Eye Center PLLCGroup PAC ID 3173410057, 33 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 600
Seattle, WA 98104-3501
Phone (206) 215-2020

1455 NW Leary Way
Suite 300
Seattle, WA 98107-5138
Phone (206) 784-3350

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (206) 212-2100

Merit-based Incentive Payment System (MIPS)

Final score
84.62 of 100Reported as group
Quality
85.07
Improvement activities
40
Cost
76.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD611324421WAMDOptometrist
34457CAMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Eye Center, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Evergreen Eye Center, PLLC Optometrist CurrentSince Apr 8, 2024 Accepting new patients
Eye Associates Northwest, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Evergreen Eye Center, PLLC Past Accepting new patients
Evergreen Eye Center, PLLC Optometrist Past Accepting new patients
Evergreen Eye Center, PLLC Past Accepting new patients

Locations

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

1101 Madison St
Ste 600
Seattle, WA 98104
Phone (206) 215-2004

Organizations & group practices 6

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": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1629613146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041340",
            "telephone_number": "206-215-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041340",
            "telephone_number": "206-215-2020",
            "fax_number": "206-215-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMAN",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34457",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD611324421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OD61132421",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "ARKISZEWSKI",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.