Individual provider Active NPI

Nermeen H Hamza, O.D.

  • Optometrist
  • Bellevue, WA
National Provider Identifier
1972543361
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60124150 Issued in WA
Practice address
14645 NE Bel Red Rd Ste 102
Bellevue, WA 98007-3929
Phone
(425) 747-2020
Fax
(425) 747-2099
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60124150 WA Primary

Addresses

Primary practice location

14645 NE Bel Red Rd Ste 102
Bellevue, WA 98007-3929

Mailing address

14645 NE Bel Red Rd Ste 102
Bellevue, WA 98007-3929
Phone (425) 747-2020

Other practice location 1

17530 132nd Ave NE Ste B
Woodinville, WA 98072-8500
Phone (425) 747-2020

Other identifiers 2

IdentifierTypeStateIssuer
G8893402OtherWAMEDICARE
60124150OtherWALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100823001090 WA Practitioner - Optometry 3072408178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellevue Vision Clinic PSGroup PAC ID 4284524398, 4 clinicians

Practice addresses (Care Compare)

14645 NE Bel Red Rd
Suite 102
Bellevue, WA 98007-3929
Phone (425) 747-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bellevue Vision Clinic PS Optometrist CurrentSince Jul 22, 2010 Accepting new patients

Locations

13401 NE Bel Red Rd
Ste A4
Bellevue, WA 98005
Phone (425) 747-2020

14645 NE Bel Red Rd
Ste 102
Bellevue, WA 98007
Phone (425) 732-6056

17530 132nd Ave NE
Ste B
Woodinville, WA 98072
Phone (425) 747-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1972543361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14645 NE BEL RED RD STE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073929",
            "telephone_number": "425-747-2020",
            "fax_number": "425-747-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14645 NE BEL RED RD STE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073929",
            "telephone_number": "425-747-2020",
            "fax_number": "425-747-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17530 132nd Ave NE Ste B",
            "address_purpose": "LOCATION",
            "city": "Woodinville",
            "state": "WA",
            "postal_code": "980728500",
            "country_code": "US",
            "telephone_number": "425-747-2020",
            "fax_number": "425-747-2099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMZA",
        "first_name": "NERMEEN",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60124150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G8893402",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "60124150",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.