Encore Eye Care, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

60244629 Issued in WA

Legal business name

ENCORE EYE CARE, INC

Practice address

3000 184TH St SW Ste 210
Lynnwood, WA 98037-4719

Phone

(206) 588-6653

NPI assigned

Dec 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Christine Huong Le, O.D.NPI 1053692905

Title

Optometrist

Phone

(206) 353-0404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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

• Christine H Le, O.D.

  • Optometrist
  • Lynnwood, WA
  • NPI 1053692905
  Medicare reassignment NPD Authorized official
• Patrick Sung, OD

  • Optometrist
  • Lynnwood, WA
  • NPI 1033722988
  Medicare reassignment NPD

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1922377753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LAKE WASHINGTON BLVD SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980062635",
            "telephone_number": "206-353-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 184TH ST SW STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374719",
            "telephone_number": "206-588-6653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3923 Factoria Square Mall SE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980061264",
            "country_code": "US",
            "telephone_number": "425-641-4636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENCORE EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "HUONG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "206-353-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60244629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sandi Jayne Enbom
• Endc PLLC
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• Alicia C Endresen, COTA/L
• Patrick C Eneje, DNP, PMHNP-BC
• Jessie Enell, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.