NPIMap

Organization Active NPI

Blue Wave Eye Doctors Professional Limited Liability Company

Doing business as Visionworks Doctors Optometry

  • Eyewear Supplier
  • Olympia, WA
National Provider Identifier
1902608755
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY
Doing business as
Visionworks Doctors Optometry
Practice address
2915 Harrison Ave NW Ste 215
Olympia, WA 98502-2593
Phone
(360) 226-1230
Fax
(360) 810-3549
NPI assigned
Mar 25, 2025
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Dolsie McDonald
Title
Manager
Phone
(726) 444-4078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2915 Harrison Ave NW Ste 215
Olympia, WA 98502-2593

Mailing address

19100 Ridgewood Pkwy Building 1
7TH Floor
San Antonio, TX 78259-1834
Phone (800) 340-0129

Other names 1

  • Visionworks Doctors Optometry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Wave Eye Doctors Professional Limited Liability Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

305 SE Everett Mall Way
Ste 21
Everett, WA 98208
Phone (425) 267-0575

3101 184th St SW
Ste 109
Lynnwood, WA 98037
Phone (425) 539-0369

2915 Harrison Ave NW
Ste 215
Olympia, WA 98502
Phone (360) 226-1230

11066 Pacific Crest Pl NW
Ste A140
Silverdale, WA 98383
Phone (360) 228-2740

359 Strander Blvd
Tukwila, WA 98188
Phone (206) 813-9158

14141 NE Woodinville Duvall Rd
Woodinville, WA 98072
Phone (425) 419-1468

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1902608755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 RIDGEWOOD PKWY BUILDING 1",
            "address_2": "7TH FLOOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782591834",
            "telephone_number": "800-340-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 HARRISON AVE NW STE 215",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022593",
            "telephone_number": "360-226-1230",
            "fax_number": "360-810-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DOLSIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "726-444-4078"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks Doctors Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.