Organization Active NPI

S.S. Virk & Associates Inc.

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1710166889
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2077TX Issued in WA
Legal business name
S.S. VIRK & ASSOCIATES INC.
Practice address
1808 Richards Rd Ste 110
Bellevue, WA 98005-3982
Phone
(425) 283-0440
Fax
(425) 283-0447
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Ms. Allison M Mayer
Title
Optician
Phone
(425) 283-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2077TX WA Primary

Addresses

Primary practice location

1808 Richards Rd Ste 110
Bellevue, WA 98005-3982

Mailing address

1808 Richards Rd Ste 110
Bellevue, WA 98005-3982
Phone (425) 283-0440

Other identifiers 1

IdentifierTypeStateIssuer
2030674MedicaidWA

Other names 1

  • Advanced Eyecare Solutions of Bellevue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050407001029 WA Part B Supplier - Clinic/Group Practice 9931156270 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Bellevue, WA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1808 Richards Rd
Ste 110
Bellevue, WA 98005
Phone (425) 283-0440

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": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1710166889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 RICHARDS RD STE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053982",
            "telephone_number": "425-283-0440",
            "fax_number": "425-283-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 RICHARDS RD STE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053982",
            "telephone_number": "425-283-0440",
            "fax_number": "425-283-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.S. VIRK & ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "425-283-0440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "2077TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030674",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare Solutions of Bellevue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.