Organization Active NPI

Children's Eye Care, PC

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Kirkland, WA
National Provider Identifier
1679723001
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2305079MedicaidWA
8228090MedicaidWA
8433997MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250723004183 WA Part B Supplier - Clinic/Group Practice 7012423122 Receives reassigned benefits from 3 practitioners
Practice locations: Kirkland, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.