Active NPI
Clearview Eye and Laser, PLLC
- Eyewear Supplier
- Renton, WA
National Provider Identifier
1649182833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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, 2026
- 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
- Annie Coots
- Title
- Clinical Operations
- Phone
- (206) 403-8424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020352 | Medicaid | WA |
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.