Issaquah Vision Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ISSAQUAH VISION CENTER PLLC

Practice address

1460 NW Gilman Blvd Ste K2
Issaquah, WA 98027-5300

Phone

(425) 654-3652

Fax

(425) 654-3638

NPI assigned

Nov 9, 2017

Organization subpart

No

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

Authorized official

Name

Tony Chiang

Title

General Manager

Phone

(425) 228-3364

Specialties & licenses 1

Addresses

Other names 1

• Meadows Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nasim Javaheri, OD

  • Optometrist
  • Renton, WA
  • NPI 1629381405
  Medicare reassignment Care Compare group NPD
• Kirsten Ma

  • Optometrist
  • Federal Way, WA
  • NPI 1891367140
  Medicare reassignment Care Compare group NPD
• Wanzhi Li

  • Optometrist
  • Renton, WA
  • NPI 1326660713
  NPD

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1912410150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 17TH AVE NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 NW GILMAN BLVD STE K2",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275300",
            "telephone_number": "425-654-3652",
            "fax_number": "425-654-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAQUAH VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "CHIANG",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "425-228-3364"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadows Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Issaquah Plastic Surgery PLLC
• Issaquah Primary Care Associates PS
• Issaquah School District
• Issaquah Surgery Center, LLC
• Issaquah Valley Dental Care
• Issaquah Women'S and Family Clinic, PLLC
• Iveta Everingham Rnfa Surgical Assisting Services
• J Lee Sales LLC
• Jacobs MH of Washington
• Terry L Jacobson, MD

• Optometrist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.