Organization Active NPI

Qteyes PLLC

  • Optometrist
  • Kirkland, WA
National Provider Identifier
1700619947
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
QTEYES PLLC
Practice address
11314 NE 124TH St
Kirkland, WA 98034-4303
Phone
(425) 821-5050
Fax
(425) 820-0508
NPI assigned
Aug 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Dr. Quang Nguyen, ODNPI 1558703165
Title
Co-President
Phone
(503) 442-5558

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

11314 NE 124TH St
Kirkland, WA 98034-4303

Mailing address

2527 236TH St SW
Brier, WA 98036-8415
Phone (971) 570-5797

Other names 1

  • Juanita Vision Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241113000992 WA Part B Supplier - Clinic/Group Practice 4981138922 Receives reassigned benefits from 2 practitioners
Practice locations: Kirkland, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1700619947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 236TH ST SW",
            "city": "BRIER",
            "state": "WA",
            "postal_code": "980368415",
            "telephone_number": "971-570-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11314 NE 124TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344303",
            "telephone_number": "425-821-5050",
            "fax_number": "425-820-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QTEYES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "QUANG",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "503-442-5558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juanita Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2024; 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.