Organization Active NPI

Seattle Vision Therapy and Rehabilitation Center, PLLC

  • Clinic/Center
  • Seattle, WA
National Provider Identifier
1699376152
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SEATTLE VISION THERAPY AND REHABILITATION CENTER, PLLC
Practice address
13344 1St Ave NE Ste 101
Seattle, WA 98125-3059
Phone
(206) 614-0034
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Lisa Dok, ODNPI 1144607037
Title
Optometrist
Phone
(206) 614-0034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

13344 1St Ave NE Ste 101
Seattle, WA 98125-3059

Mailing address

13344 1St Ave NE Ste 101
Seattle, WA 98125-3059
Phone (206) 614-0034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201210002179 WA Part B Supplier - Clinic/Group Practice 0143632497 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

13344 1st Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 364-6366

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1699376152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13344 1ST AVE NE STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253059",
            "telephone_number": "206-614-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13344 1ST AVE NE STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253059",
            "telephone_number": "206-614-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE VISION THERAPY AND REHABILITATION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "DOK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "206-614-0034",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.