Individual provider Active NPI

Shawn K Nash, D.O.

  • Ophthalmology Physician
  • Seattle, WA
National Provider Identifier
1801203088
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OP60973150 Issued in WA
Practice address
1101 Madison St Ste 600
Seattle, WA 98104-1340
Phone
(206) 215-2020
Fax
(206) 215-2022
NPI assigned
Jul 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X DO185372 OR
Ophthalmology Physician 207W00000X OP60973150 WA Primary

Addresses

Primary practice location

1101 Madison St Ste 600
Seattle, WA 98104-1340

Mailing address

1101 Madison St Ste 600
Seattle, WA 98104-1340
Phone (206) 215-2020

Other practice location 1

3585 Broadway Ave
North Bend, OR 97459-1251
Phone (541) 756-2584

Other practice location 2

4301 West Markham
Little Rock, AR 72205-7199
Phone (501) 686-5356

Other identifiers 1

IdentifierTypeStateIssuer
2141892MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212000910 WA Practitioner - Ophthalmology 0648586917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Eye Center PLLCGroup PAC ID 3173410057, 33 clinicians

Practice addresses (Care Compare)

1455 NW Leary Way
Suite 300
Seattle, WA 98107-5138
Phone (206) 784-3350

155 NE 100TH St
Suite 110
Seattle, WA 98125-8007
Phone (206) 363-8855

21616 76TH Ave W
Suite 110
Edmonds, WA 98026-7512
Phone (425) 775-0548

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (206) 212-2100

Merit-based Incentive Payment System (MIPS)

Final score
84.62 of 100Reported as group
Quality
85.07
Improvement activities
40
Cost
76.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Eye Center, PLLC Single Specialty CurrentSince Apr 8, 2024 Accepting new patients
Eye Associates Northwest, PLLC Single Specialty CurrentSince Aug 13, 2023 Accepting new patients
Evergreen Eye Center, PLLC CurrentSince Aug 13, 2023 Accepting new patients
Evergreen Eye Center, PLLC Single Specialty Current Accepting new patients
Evergreen Eye Center, PLLC Single Specialty Past Accepting new patients
Evergreen Eye Center, PLLC Single Specialty Past Accepting new patients
Evergreen Eye Center, PLLC Past Accepting new patients

Locations

21616 76th Ave W
Ste 110
Edmonds, WA 98026
Phone (425) 775-0548

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

155 NE 100th St
Ste 110
Seattle, WA 98125
Phone (206) 363-8855

1455 NW Leary Way
Ste 300
Seattle, WA 98107
Phone (206) 784-3350

1101 Madison St
Ste 600
Seattle, WA 98104
Phone (206) 215-2004

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1801203088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041340",
            "telephone_number": "206-215-2020",
            "fax_number": "206-215-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041340",
            "telephone_number": "206-215-2020",
            "fax_number": "206-215-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3585 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "OR",
            "postal_code": "974591251",
            "country_code": "US",
            "telephone_number": "541-756-2584",
            "fax_number": "541-756-5783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 West Markham",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057199",
            "country_code": "US",
            "telephone_number": "501-686-5356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASH",
        "first_name": "SHAWN",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-19",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "DO185372",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "OP60973150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2141892",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.