Organization Active NPI

Clearview Eye and Laser, PLLC

  • Eyewear Supplier
  • Renton, WA
National Provider Identifier
1649182833
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CLEARVIEW EYE AND LASER, PLLC
Practice address
10904 SE Petrovitsky Rd
Renton, WA 98055-5678
Phone
(206) 937-9600
Fax
(206) 937-4088
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Annie Coots
Title
Clinical Operations
Phone
(206) 403-8424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

10904 SE Petrovitsky Rd
Renton, WA 98055-5678

Mailing address

7520 35TH Ave SW
Seattle, WA 98126-3228
Phone (206) 937-9600

Other identifiers 1

IdentifierTypeStateIssuer
2020352MedicaidWA

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1649182833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 35TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263228",
            "telephone_number": "206-937-9600",
            "fax_number": "206-937-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10904 SE PETROVITSKY RD",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555678",
            "telephone_number": "206-937-9600",
            "fax_number": "206-937-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARVIEW EYE AND LASER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "COOTS",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "206-403-8424"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020352",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.