Polaris Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

WA3212TX Issued in WA

Legal business name

POLARIS EYECARE INC

Doing business as

Capitol Hill Vision

Practice address

342 15TH Ave E
Seattle, WA 98112-5103

Phone

(206) 625-9061

Fax

(206) 726-6056

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brett D Llewellyn, O.D.NPI 1407929813

Title

President

Phone

(206) 625-9061

Specialties & licenses 1

Addresses

Other names 1

• Capitol Hill Vision 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.

• Brett David Llewellyn, O.D.

  • Optometrist
  • Seattle, WA
  • NPI 1407929813
  Medicare reassignment Authorized official
• Michael James Bernardi, OD

  • Optometrist
  • Renton, WA
  • NPI 1619696200
  Medicare reassignment NPD
• Gaganjot K Sidhu, OD

  • Optometrist
  • San Pablo, CA
  • NPI 1578265468
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1659671782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 15TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125103",
            "telephone_number": "206-625-9061",
            "fax_number": "206-726-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 15TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125103",
            "telephone_number": "206-625-9061",
            "fax_number": "206-726-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "LLEWELLYN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-625-9061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA3212TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Hill Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lowell Poisson
• Polack Adult Day Center
• Robert I Polakoff, MD
• Alason Polanco, LHMC
• Chris Poland, RPH
• Lisa Anne Polec, D.C.
• Steven R Polenz, D.C.
• Glenda Sue Poletti, LMP
• Inassa Polevoy
• Joshua Erik Policella, MD

• 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 Nov 8, 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.