Organization Active NPI

Dr Tiffany J Hollenbeck PLLC

Doing business as Redmond Ridge Eye Care

  • Optometrist
  • Redmond, WA
National Provider Identifier
1760539969
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3825 Issued in WA
Legal business name
DR TIFFANY J HOLLENBECK PLLC
Doing business as
Redmond Ridge Eye Care
Practice address
22310 NE Marketplace Dr
Suite 106
Redmond, WA 98053-2038
Phone
(425) 898-9222
Fax
(425) 898-9225
NPI assigned
Jan 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tiffany J Hollenbeck, O.D.NPI 1669477725
Title
Co Owner
Phone
(425) 898-9222

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
Optometrist 152W00000X 3825 WA Primary

Addresses

Primary practice location

22310 NE Marketplace Dr
Suite 106
Redmond, WA 98053-2038

Mailing address

22310 NE Marketplace Dr
Suite 106
Redmond, WA 98053-2038
Phone (425) 898-9222

Other names 1

  • Redmond Ridge Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

22310 NE Marketplace Dr
Ste 106
Redmond, WA 98053
Phone (425) 898-9222

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760539969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22310 NE MARKETPLACE DR",
            "address_2": "SUITE 106",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980532038",
            "telephone_number": "425-898-9222",
            "fax_number": "425-898-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22310 NE MARKETPLACE DR",
            "address_2": "SUITE 106",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980532038",
            "telephone_number": "425-898-9222",
            "fax_number": "425-898-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TIFFANY J HOLLENBECK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLENBECK",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "425-898-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redmond Ridge Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.