Organization Active NPI

See Jane Inc

Doing business as Briarwood Vision Center

  • Optometrist
  • Renton, WA
National Provider Identifier
1760402366
Registry record updated Dec 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3813 Issued in WA
Legal business name
SEE JANE INC
Doing business as
Briarwood Vision Center
Practice address
5335 NE 4TH St Ste 4
Renton, WA 98059-4831
Phone
(206) 850-1882
Fax
(425) 282-5936
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2021

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

Authorized official

Name
Junyan Gan, O.D.NPI 1679593677
Title
President
Phone
(425) 282-5475

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 3813 WA Primary

Addresses

Primary practice location

5335 NE 4TH St Ste 4
Renton, WA 98059-4831

Mailing address

12660 164TH Ave Ste a
Renton, WA 98056
Phone (425) 282-5475

Other names 1

  • Briarwood Vision Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040708000024 WA Part B Supplier - Clinic/Group Practice 0446238497 Receives reassigned benefits from 2 practitioners
Practice locations: Renton, WA

National Provider Directory

National Provider Directory

Locations

6973 Coal Creek Pkwy SE
Newcastle, WA 98059
Phone (206) 641-2500

12660 164th Ave SE
Ste A
Renton, WA 98059

5335 NE 4th St
Ste 4
Renton, WA 98059
Phone (425) 282-5475

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639180800000",
    "number": "1760402366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 164TH AVE STE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98056",
            "telephone_number": "425-282-5475",
            "fax_number": "425-282-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 NE 4TH ST STE 4",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594831",
            "telephone_number": "206-850-1882",
            "fax_number": "425-282-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEE JANE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A",
        "authorized_official_last_name": "GAN",
        "authorized_official_first_name": "JUNYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-282-5475",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Briarwood Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Briarwood Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; 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.