Mina Fordyce, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

60226320 Issued in WA

Practice address

12310 NE 8TH St
Ste 101
Bellevue, WA 98005-3185

Phone

(425) 558-9082

Fax

(425) 558-9089

NPI assigned

Oct 7, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Pacific University - College of Optometry, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Washington Visionary Eyecare PLLC

  • Optometrist
  • Mukilteo, WA
  • NPI 1629671599
  Medicare reassignment NPD
• Nicholas L Clark, OD, LLC

  • Optometrist
  • McMinnville, OR
  • NPI 1548513583
  Medicare reassignment NPD
• Vanessa Michel PLLC

  • Optometrist
  • Redmond, WA
  • NPI 1437480456
  NPD
• Washington Visionary Eyecare PLLC

  • Optometrist
  • Kennewick, WA
  • NPI 1588237945
  NPD
• Aeg Washington Professional PC

  • Optometrist
  • Bellevue, WA
  • NPI 1134835176
  NPD (past)
• Dr Tiffany J Hollenbeck PLLC

  • Optometrist
  • Redmond, WA
  • NPI 1760539969
  NPD (past)

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1922333012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15902 NE 27TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082248",
            "telephone_number": "253-351-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12310 NE 8TH ST",
            "address_2": "STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053185",
            "telephone_number": "425-558-9082",
            "fax_number": "425-558-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDYCE",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60226320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Fombu
• Lisa Nicole Fomenoff, D.C.
• Carmen Fong
• Letasha Louise Footman
• Kyle Scott Forbes, DPT
• John Fore, M.S.P.T.
• Chelsea Ann Forehand, LMT
• Joanne Foreman, FNTP
• Forensic and Clinical Psychology Services
• Formosa Acupuncture & Herbs Corp

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.

Verify at the official NPI Registry.