Northwest Pediatric Eye Care P.S.

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

OD00001609 Issued in WA

Legal business name

NORTHWEST PEDIATRIC EYE CARE P.S.

Practice address

14645 Bel Red Rd
Ste E102
Bellevue, WA 98007-3929

Phone

(425) 732-6056

Fax

(425) 732-6059

NPI assigned

May 23, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Preston, O.D.NPI 1861436438

Title

President

Phone

(425) 732-6056

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 5

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.

• Karen L Preston, O.D.

  • Pediatric Optometrist
  • Bellevue, WA
  • NPI 1861436438

  Pediatrics

  Medicare reassignment NPD Authorized official
• Joanna Haws, O.D.

  • Optometrist
  • Lacey, WA
  • NPI 1043252323
  NPD (past)
• Kevin Michael Simmons, O.D.

  • Optometrist
  • Bellevue, WA
  • NPI 1407101892

  Pediatrics

  NPD (past)
• Willow Frances Thompson, OD

  • Optometrist
  • Everett, WA
  • NPI 1083749618
  NPD (past)
• Jolyn Wei, O.D.

  • Optometrist
  • Pacoima, CA
  • NPI 1770731242

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1730399049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14645 BEL RED RD",
            "address_2": "SUITE E102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073929",
            "telephone_number": "425-732-6056",
            "fax_number": "425-732-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14645 BEL RED RD",
            "address_2": "STE E102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073929",
            "telephone_number": "425-732-6056",
            "fax_number": "425-732-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PEDIATRIC EYE CARE P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-732-6056",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "WA",
            "license": "OD00001609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031482",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Ketamine Clinics PLLC Dba Northwest Healing and Wellness (Northwest Healing and Wellness)
• Northwest Kidney Centers (Bellevue Kidney Center)
• Northwest Neuropsychology Learning and Behavioral Services
• Northwest Outpatient Anesthesia PLLC
• Northwest Pain Consultants PLLC
• Northwest Physical Medicine PS (Bellevue Wellness)
• Northwest Physical Medicine PS
• Northwest Physicians Laboratories
• Northwest Podiatry, PLLC
• Northwest Rehabilitation Associates, Inc., PS

• Pediatric Optometrist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Pediatric Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.