Bellevue Optometry Clinic PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

1662TX Issued in WA

Legal business name

BELLEVUE OPTOMETRY CLINIC PS

Practice address

2020 116TH Ave NE
Suite 200
Bellevue, WA 98004

Phone

(425) 453-2020

Fax

(425) 453-9370

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rick L McManus, ODNPI 1629251970

Title

President

Phone

(425) 453-2020

Specialties & licenses 1

Addresses

Other names 1

• Bellevue Optometry Clinic 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.

• Rick L. McManus, O.D.

  • Optometrist
  • Bellevue, WA
  • NPI 1629251970
  Medicare reassignment Authorized official
• Lianna Hall

  • Optometrist
  • Bellevue, WA
  • NPI 1366302929
  NPD
• Alexandra Gelt, O.D.

  • Optometrist
  • Kent, WA
  • NPI 1699801886
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1932267291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 116TH AVE NE",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043059",
            "telephone_number": "425-453-2020",
            "fax_number": "425-453-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 116TH AVE NE",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-453-2020",
            "fax_number": "425-453-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE OPTOMETRY CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-453-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1662TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Optometry Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bellevue Medical Center
• Bellevue Medical Imaging, PLLC
• Bellevue Neurology and Neuroscience PLLC
• Bellevue Neuromuscular Dentistry LLC
• Bellevue OBGYN LLC
• Bellevue Orthopedic Physicians PLLC
• Bellevue Pain and Wellness PLLC
• Bellevue Park Dental
• Bellevue Physiatry and Electrodiagnosis LLC
• Bellevue Plastic Surgery Center

• 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 Dec 20, 2007; 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.