Overlake Eyecare, Ps

LBN: Overlake Eyecare, Ps
Overlake Eyecare, Ps is an health care organization with primary practice located at 1837 156Th Ave Ne Ste 201, Bellevue WA 98007-4387. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Ambulatory Health Care Facilities / Ophthalmologic Surgery. Ambulatory Health Care Facilities / Ophthalmologic Surgery is the primary health care specialty. Overlake Eyecare, Ps can be contacted via phone (425) 643-2020, or through Prothero, William J via phone (425) 643-2020.

Contact Information

Primary practice address
1837 156Th Ave Ne Ste 201 Bellevue WA 98007-4387
Phone: (425) 643-2020
Fax: (425) 643-0859
Website:
Map and Directions
Authorized official contact:
Name: Prothero, William J Doctor of Optometry (OD)
Phone: (425) 643-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00001765 Washington
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X 602074929 Washington

Profile Details

NPI number 1770580086
LBN Legal business name Overlake Eyecare, Ps
DBA Doing business as
Authorized official Prothero, William J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Mar 22nd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770580086 NPPES
Washington Other 0149521 WA L&I GROUP NUMBER
Washington MEDICAID 2025047 WA L&I GROUP NUMBER

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