NPIMap

Organization Active NPI

Northwest Vision Institute, PLLC

  • Ophthalmology Physician
  • Bellevue, WA
National Provider Identifier
1659441160
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00027511 Issued in WA
Legal business name
NORTHWEST VISION INSTITUTE, PLLC
Practice address
12301 NE 10TH PL Ste 200
Bellevue, WA 98005-2487
Phone
(425) 450-2020
Fax
(425) 688-0620
NPI assigned
Nov 9, 2006
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Michael L Gilbert, MDNPI 1386646065
Title
Owner Sole Proprietor
Phone
(425) 450-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X BG0163446 WA
Ophthalmology Physician 207W00000X MD00027511 WA Primary

Addresses

Primary practice location

12301 NE 10TH PL Ste 200
Bellevue, WA 98005-2487

Mailing address

12301 NE 10TH PL Ste 200
Bellevue, WA 98005-2487
Phone (425) 450-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100219000133 WA Part B Supplier - Clinic/Group Practice 5597809236 Receives reassigned benefits from 8 practitioners
Practice locations: Bellevue, WA; Kirkland, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Michael L Gilbert MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: abracken@nvi.intellechartdirect.net
  • Direct secure messaging: cfarag@nvi.intellechartdirect.net
  • Direct secure messaging: jwickenburg@nvi.intellechartdirect.net
  • Direct secure messaging: mjgilbert@nvi.intellechartdirect.net
  • Direct secure messaging: mlgilbert@nvi.intellechartdirect.net
  • Direct secure messaging: skitamura@nvi.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1659441160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 NE 10TH PL STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052487",
            "telephone_number": "425-450-2020",
            "fax_number": "425-688-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 NE 10TH PL STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052487",
            "telephone_number": "425-450-2020",
            "fax_number": "425-688-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST VISION INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER SOLE PROPRIETOR",
        "authorized_official_telephone_number": "425-450-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "BG0163446",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00027511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.