Bainbridge Vision Inc PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

2067 Issued in WA

Legal business name

BAINBRIDGE VISION INC PS

Doing business as

Bainbridge Vision

Practice address

345 Knechtel Way NE
Suite 104
Bainbridge Island, WA 98110-2860

Phone

(206) 842-6604

Fax

(206) 842-6605

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Sherri Egashira, O.D.NPI 1851388524

Title

President

Phone

(206) 842-6604

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bainbridge Vision Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherri Miye Egashira, O.D.

  • Optometrist
  • Bainbridge Island, WA
  • NPI 1851388524
  NPD Authorized official
• Sheri Steele, O.D.

  • Optometrist
  • Bainbridge Island, WA
  • NPI 1457347098
  NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1659312056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 KNECHTEL WAY NE",
            "address_2": "SUITE 104",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102860",
            "telephone_number": "206-842-6604",
            "fax_number": "206-842-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KNECHTEL WAY NE",
            "address_2": "SUITE 104",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102860",
            "telephone_number": "206-842-6604",
            "fax_number": "206-842-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAINBRIDGE VISION INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "EGASHIRA",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-842-6604",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "2067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20233273",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bainbridge Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bainbridge Island School District
• Bainbridge Mental Health, PLLC
• Bainbridge Pediatric Therapy
• Bainbridge Pediatrics, PLLC
• Bainbridge Skin Surgery and Consultative Dermatology PLLC
• Laura West Baker, LMHC
• Michelle Bale
• Lucija Banic
• Jillian Barry, OT
• Valerie Bautista, OTR/L

• Optometrist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.