Amalia D Poquiz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60041482 Issued in WA

Practice address

11314 4TH Ave W
Suite 108
Everett, WA 98204-6926

Phone

(425) 353-5544

NPI assigned

Sep 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amalia Poquiz Mayor Other name

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Aeg Washington Professional PC

  • Optometrist
  • Bellevue, WA
  • NPI 1134835176
  Medicare reassignment Care Compare group NPD
• Mayemura, Inc.

  dba Everett Family Vision

  • Optometrist
  • Everett, WA
  • NPI 1689857690
  Medicare reassignment NPD
• Mayemura, Inc.

  dba Mountlake Terrace Eye Care

  • Optometrist
  • Mountlake Terrace, WA
  • NPI 1093098402
  NPD
• Mayemura, Inc.

  dba Bartlett Eye Clinic

  • Optometrist
  • Bothell, WA
  • NPI 1427299056
  NPD

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1689824955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 JUANITA DR NE STE A",
            "address_2": "SUITE A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980349708",
            "telephone_number": "425-820-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11314 4TH AVE W",
            "address_2": "SUITE 108",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046926",
            "telephone_number": "425-353-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POQUIZ",
        "first_name": "AMALIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60041482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMALIA",
            "last_name": "POQUIZ MAYOR",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Perry Yui Ming Poon, RPH
• Ksenia Popova
• Mariya Petrovna Popova, SUDP/T
• Kimberly Ruth Poppe, ARNP
• Leslie Dean Poppe, PHD
• Port Gardner Bay Recovery
• Jennifer Porter, LPN
• Melinda Ann Porter
• Zebadiah Porter, PHARMD
• Kim A. Porterfield, M.D.

• Optometrist in Everett, WA
• Providers in Everett, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.