Organization · Type 2 NPI

Eye Associates Northwest, PLLC

Eyewear Supplier · Kirkland, WA

NPI number 1154399319 Active

Practice location

11325 NE 120th St Ste 11325
Kirkland, WA 98034-6907

Call (425) 775-0548 Map

Fax (425) 670-6708

Mailing address

1101 Madison St, Ste 600
Seattle, WA 98104-1306

Other practice locations

11919 NE 128th St, Ste A, Kirkland, WA 98034-7204 · (425) 820-6307

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Other eyewear supplier providers in Kirkland

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NPI record

NPI: 1154399319
Entity type: Organization (Type 2)
Issued: Mar 14, 2006
Last updated: Jan 12, 2024
Status: Active
Subpart: Yes of Eye Associates Northwest, PLLC

Other names

<unavail>
Evergreen Optical · doing business as
Evergreen Optical · doing business as

Authorized official

Rosa Campos
Credentialing Manager
(206) 215-2004

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154399319

Eye Associates Northwest, PLLC's National Provider Identifier is 1154399319, issued on Mar 14, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Kirkland, WA. The record was last updated on Jan 12, 2024.