Active NPI
Children's Eye Care, PC
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Kirkland, WA
National Provider Identifier
1679723001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Legal business name
- CHILDREN'S EYE CARE, PC
- Practice address
- 11800 NE 128TH St Ste 430
Kirkland, WA 98034-7299 - Phone
- (425) 823-3937
- Fax
- (425) 823-7479
- NPI assigned
- Sep 22, 2008
- Last updated
- May 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth David Epley, MD
- Title
- Owner/Pediatric Ophthalmologist
- Phone
- (425) 823-3937
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | NU | ||
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | NU | Primary |
Addresses
Primary practice location
11800 NE 128TH St Ste 430
Kirkland, WA 98034-7299
Mailing address
11800 NE 128TH St Ste 430
Kirkland, WA 98034-7299
Phone (425) 823-3937
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305079 | Medicaid | WA | |
| 8228090 | Medicaid | WA | |
| 8433997 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11800 NE 128th St
Kirkland, WA 98034
Phone (425) 823-3937
11800 NE 128th St
Ste 430
Kirkland, WA 98034
Phone (425) 823-3937
12556 120TH Ave NE 346
Kirkland, WA 98034
12556 120TH Ave NE 346
346
Kirkland, WA 98034
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Ophthalmology Physician
- Seattle, WA
- NPI 1194285882
-
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Kirkland, WA
- NPI 1588642003
-
- Dermatology Physician
- Kirkland, WA
- NPI 1770640815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747699200000",
"number": "1679723001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11800 NE 128TH ST STE 430",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347299",
"telephone_number": "425-823-3937",
"fax_number": "425-823-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 NE 128TH ST STE 430",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347299",
"telephone_number": "425-823-3937",
"fax_number": "425-823-7479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S EYE CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-22",
"last_updated": "2025-05-20",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "EPLEY",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER/PEDIATRIC OPHTHALMOLOGIST",
"authorized_official_telephone_number": "425-823-3937",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2305079",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8228090",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8433997",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.