Organization Active NPI

Overlake Eye Designs, P.C.

  • Optometrist
  • Redmond, WA
National Provider Identifier
1982789863
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WA 3422 TX Issued in WA
Legal business name
OVERLAKE EYE DESIGNS, P.C.
Practice address
15350 Bel Red Rd Unit 130
Redmond, WA 98052-7366
Phone
(425) 562-2015
Fax
(425) 562-2010
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Bessie Ming-Yi Pian, ODNPI 1689609620
Title
Co-Owner
Phone
(425) 562-2015

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 WA 3422 TX WA Primary

Addresses

Primary practice location

15350 Bel Red Rd Unit 130
Redmond, WA 98052-7366

Mailing address

15350 Bel Red Rd Unit 130
Redmond, WA 98052-7366
Phone (425) 562-2015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041012000621 WA Part B Supplier - Clinic/Group Practice 8628038916 Receives reassigned benefits from 2 practitioners
Practice locations: Redmond, WA

National Provider Directory

National Provider Directory
Tax ID family
Overlake Eye Designs PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15230 NE 24th St
Ste Q
Redmond, WA 98052
Phone (425) 562-2015

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1982789863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15350 BEL RED RD UNIT 130",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527366",
            "telephone_number": "425-562-2015",
            "fax_number": "425-562-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15350 BEL RED RD UNIT 130",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527366",
            "telephone_number": "425-562-2015",
            "fax_number": "425-562-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLAKE EYE DESIGNS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "PIAN",
        "authorized_official_first_name": "BESSIE",
        "authorized_official_middle_name": "MING-YI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "425-562-2015",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "WA 3422 TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.