Eden Weldetnsae, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60908812 Issued in WA

Practice address

16708 Bothell Everett Hwy Ste 103
Mill Creek, WA 98012-6345

Phone

(425) 481-4440

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Stephen Nevett and Associates PCGroup PAC ID 0648468975, 10 clinicians

Sight Partners Physicians PCGroup PAC ID 6002728532, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Stephen Nevett and Associates, P.C.

  • Health Service Clinic/Center
  • Seattle, WA
  • NPI 1619287240

  Optometrist

  Medicare reassignment Care Compare group NPD
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Bellingham, WA
  • NPI 1376613075
  Medicare reassignment Care Compare group
• Steven a. Davis. O.D., P.S.

  • Optometrist
  • Mill Creek, WA
  • NPI 1427242981
  Medicare reassignment NPD
• Mill Creek Family Eyewear

  • Optometrist
  • Mill Creek, WA
  • NPI 1922633270
  NPD
• Sight Partners Physicians PC

  • Multi-Specialty Clinic/Center
  • Colville, WA
  • NPI 1801781802
  NPD
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Mount Vernon, WA
  • NPI 1134121593

  Optometrist

  NPD
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1669030532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16708 BOTHELL EVERETT HWY STE 103",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126345",
            "telephone_number": "425-481-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16708 BOTHELL EVERETT HWY STE 103",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980126345",
            "telephone_number": "425-481-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDETNSAE",
        "first_name": "EDEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60908812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Physical Therapy Services of Mill Creek, LLC
• Rebekah Watanabe
• Stephen Waterman IV, D.D.S.
• Joan Weisbergbeyerlein
• Sheila M Weisbrod
• Mary M Wergeland, O.T.
• Sandra J. Weyrauch, PT
• White and Associates LLC
• Alison Marie Wien, ARNP
• Wildwood Dental Group

• Optometrist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.