Ballard Optometry, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BALLARD OPTOMETRY, PLLC

Practice address

1719 NW Market St
Seattle, WA 98107-5225

Phone

(206) 784-2090

NPI assigned

Apr 8, 2021

Organization subpart

No

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

Authorized official

Name

Harshani Buddika Amaraweera, ODNPI 1043745839

Title

Owner

Phone

(206) 910-3838

Specialties & licenses 1

Addresses

Other names 1

• Ballard Optical Doing business as

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.

• Harshani Buddika Amaraweera

  • Optometrist
  • Bellevue, WA
  • NPI 1043745839
  Medicare reassignment Care Compare group NPD Authorized official
• Huma Ahmad, DO

  • Optometrist
  • Seattle, WA
  • NPI 1639630593
  Medicare reassignment Care Compare group NPD
• Annie Han-CHI Yu, OD

  • Optometrist
  • Seattle, WA
  • NPI 1821612656
  Medicare reassignment NPD

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1629658331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 NW MARKET ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075225",
            "telephone_number": "206-784-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 NW MARKET ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075225",
            "telephone_number": "206-784-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "AMARAWEERA",
        "authorized_official_first_name": "HARSHANI",
        "authorized_official_middle_name": "BUDDIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-910-3838",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballard Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ballard Eye Clinic PLLC
• Ballard Health Center
• Ballard Neighborhood Doctors PLLC
• Ballard OBGYN, P.C.
• Ballard Optical PS
• Ballard Pediatric Clinic Inc PS
• Ballard Plaza Pharmacy I Inc
• Ballard Psychiatric Associates, PLLC
• Ballard Recovery Services
• Ballard Speech & Hearing Ctr. P.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.