Organization Active NPI

City Eyeworks LLC

  • Optometrist
  • Seattle, WA
National Provider Identifier
1942524574
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3931 Issued in WA
Legal business name
CITY EYEWORKS LLC
Practice address
5101 25TH Ave NE Ste 10
Seattle, WA 98105-3225
Phone
(206) 432-9051
Fax
(206) 432-9264
NPI assigned
Mar 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Pamela ChinNPI 1669472908
Title
Optometrist
Phone
(503) 819-7590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3931 WA Primary

Addresses

Primary practice location

5101 25TH Ave NE Ste 10
Seattle, WA 98105-3225

Mailing address

5101 25TH Ave NE Ste 10
Seattle, WA 98105-3225
Phone (206) 432-9051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100928000983 WA Part B Supplier - Clinic/Group Practice 9638295561 Receives reassigned benefits from 3 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

5101 25th Ave NE
Ste 1
Seattle, WA 98105

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1942524574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 25TH AVE NE STE 10",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053225",
            "telephone_number": "206-432-9051",
            "fax_number": "206-432-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 25TH AVE NE STE 10",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053225",
            "telephone_number": "206-432-9051",
            "fax_number": "206-432-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY EYEWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "503-819-7590"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.