Individual provider Active NPI

Steven Joseph Laukaitis, MD

  • Ophthalmology Physician
  • Kirkland, WA
National Provider Identifier
1669407086
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD0028072 Issued in WA
Practice address
625 4TH Ave
Ste 301
Kirkland, WA 98033-9028
Phone
(425) 216-7200
Fax
(425) 216-7272
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X MD00028072 WA
Ophthalmology Physician 207W00000X MD0028072 WA Primary

Addresses

Primary practice location

625 4TH Ave
Ste 301
Kirkland, WA 98033-9028

Mailing address

625 4TH Ave
Ste 301
Kirkland, WA 98033-9028
Phone (425) 216-7200

Other identifiers 1

IdentifierTypeStateIssuer
8138257MedicaidWA

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100827000120 WA Practitioner - Ophthalmology 6800888694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric a Cole MD PSGroup PAC ID 0648202838, 3 clinicians

Practice addresses (Care Compare)

9800 Levin Rd NW
Suite 101
Silverdale, WA 98383-7849
Phone (360) 613-2600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0028072WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric a Cole MD PS CurrentSince Sep 1, 2024 Accepting new patients
Aesthetic Eye Associates PS Current Accepting new patients
Cole Aesthetic Center Past Accepting new patients

Locations

625 4th Ave
Ste 301
Kirkland, WA 98033
Phone 42521672007201

9800 Levin Rd NW
Ste 101
Silverdale, WA 98383
Phone (360) 613-2300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1669407086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 4TH AVE",
            "address_2": "STE 301",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980339028",
            "telephone_number": "425-216-7200",
            "fax_number": "425-216-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 4TH AVE",
            "address_2": "STE 301",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980339028",
            "telephone_number": "425-216-7200",
            "fax_number": "425-216-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUKAITIS",
        "first_name": "STEVEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "MD00028072",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD0028072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8138257",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.