Individual provider Active NPI

Carrie Murphy, O.D.

  • Vision Therapy Optometrist
  • Lynnwood, WA
National Provider Identifier
1821300112
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OD60348388 Issued in WA
Practice address
16006 Ash Way
Suite 101
Lynnwood, WA 98087-6352
Phone
(425) 787-5200
Fax
(425) 787-5252
NPI assigned
Jul 2, 2010
Last updated
Mar 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X OD60348388 WA Primary

Addresses

Primary practice location

16006 Ash Way
Suite 101
Lynnwood, WA 98087-6352

Mailing address

16006 Ash Way
Suite 101
Lynnwood, WA 98087-6352
Phone (425) 787-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2791COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alderwood Vision Therapy and Development PLLC Vision Therapy PastSince Dec 29, 2024 Accepting new patients

Organizations & group practices 1

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": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1821300112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16006 ASH WAY",
            "address_2": "SUITE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876352",
            "telephone_number": "425-787-5200",
            "fax_number": "425-787-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16006 ASH WAY",
            "address_2": "SUITE 101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876352",
            "telephone_number": "425-787-5200",
            "fax_number": "425-787-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "CARRIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "WA",
            "license": "OD60348388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.