Organization Active NPI

Optometric Center of Seattle

  • Voluntary or Charitable Agency
  • Seattle, WA
National Provider Identifier
1982814075
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
OPTOMETRIC CENTER OF SEATTLE
Practice address
124 21St Ave
Seattle, WA 98122-5912
Phone
(206) 325-1100
Fax
(206) 324-7641
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lindsey Keith Sewell, O.D.
Title
Director
Phone
(206) 325-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X WA Primary

Addresses

Primary practice location

124 21St Ave
Seattle, WA 98122-5912

Mailing address

124 21St Ave
Seattle, WA 98122-5912
Phone (206) 325-1100

Other identifiers 1

IdentifierTypeStateIssuer
205600MedicaidWA

National Provider Directory

National Provider Directory

Locations

124 21st Ave
Seattle, WA 98122
Phone (206) 325-1100

Practitioners & affiliated clinicians

Practitioners 1

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982814075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 21ST AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225912",
            "telephone_number": "206-325-1100",
            "fax_number": "206-324-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 21ST AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225912",
            "telephone_number": "206-325-1100",
            "fax_number": "206-324-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC CENTER OF SEATTLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "206-325-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205600",
            "state": "WA"
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.