Active NPI
Karen L Preston, O.D.
- Pediatric Optometrist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- OD00001609
- Practice address
- 14645 Bel Red Rd
Ste E102
Bellevue, WA 98007-3929 - Phone
- (425) 732-6056
- Fax
- (425) 732-6059
- NPI assigned
- Jun 15, 2006
- Last updated
- Feb 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | OD00001609 | WA | Primary |
Addresses
Primary practice location
14645 Bel Red Rd
Ste E102
Bellevue, WA 98007-3929
Mailing address
14645 Bel Red Rd
Suite E102
Bellevue, WA 98007-3929
Phone (425) 732-6056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2024370 | Medicaid | WA |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14715 NE Bel Red Rd
Suite 202
Bellevue, WA 98007-3956
Phone (425) 732-6056
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD00001609 | WA | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Pediatric Eye Care P.S. | Pediatrics | Current | Accepting new patients |
| Eye Care Specialists Northwest PLLC | Past | Accepting new patients |
Locations
14645 NE Bel Red Rd
Ste E102
Bellevue, WA 98007
Phone (425) 732-6056
14715 NE Bel Red Rd
Ste 202
Bellevue, WA 98007
Phone (425) 732-6056
Organizations & group practices 2
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.
-
dba The Childrens Eye Doctors, The Family Eye Doctors, Woodlawn Optical
- Ophthalmology Physician
- Redmond, WA
- NPI 1477596252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1861436438",
"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": {
"last_name": "PRESTON",
"first_name": "KAREN",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "WA",
"license": "OD00001609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2024370",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.