Everett Family Vision - Medicare Optometrist in Everett, WA

Everett Family Vision is a medicare enrolled "Optometrist" provider in Everett, Washington. Their current practice location is 9610 Evergreen Way, Ste. A, Everett, Washington. You can reach out to their office (for appointments etc.) via phone at (425) 353-5544.

Everett Family Vision is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Everett Family Vision is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1689857690.

Contact Information

Everett Family Vision
9610 Evergreen Way, Ste. A,
Everett, WA 98204-7102
(425) 353-5544
(206) 350-5544

Map and Direction




Healthcare Provider's Profile

Full NameEverett Family Vision
TypeFacility
SpecialityOptometrist
Location9610 Evergreen Way, Everett, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689857690
  • Provider Enumeration Date: 12/12/2007
  • Last Update Date: 03/26/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8527058320
  • Enrollment ID: O20040513001526

Medical Identifiers

Medical identifiers for Everett Family Vision such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689857690NPI-NPPES
2028751MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary
152WC0802XOptometrist - Corneal And Contact Management (* (Not Available))Secondary
152WP0200XOptometrist - Pediatrics (* (Not Available))Secondary
152WS0006XOptometrist - Sports Vision (* (Not Available))Secondary
152WV0400XOptometrist - Vision Therapy (* (Not Available))Secondary
152WX0102XOptometrist - Occupational Vision (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Everett Family Vision acts as a billing entity for following providers:
Provider NameBrenda L Burden
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1760526628
PECOS PAC ID: 4183614928
Enrollment ID: I20040514000221
Provider NameKen K Mayemura
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821131814
PECOS PAC ID: 5799775599
Enrollment ID: I20040514000306
Provider NameGary P Archer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1790864205
PECOS PAC ID: 4284709163
Enrollment ID: I20080813000181
Provider NameAmalia P Poquiz
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1689824955
PECOS PAC ID: 7214065135
Enrollment ID: I20100513000122
Provider NameKatherine Y Shen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1922315282
PECOS PAC ID: 4587852322
Enrollment ID: I20120117000071
Provider NameDixita S Patel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1053670737
PECOS PAC ID: 9739310681
Enrollment ID: I20140318002110
Provider NameJacquelyn Cosgrove
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1568999332
PECOS PAC ID: 2466708292
Enrollment ID: I20181031001714
Provider NameDanielle Robertson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1689234304
PECOS PAC ID: 1557696523
Enrollment ID: I20190712001234
Provider NameJeffrey Dabundo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912564410
PECOS PAC ID: 4688901259
Enrollment ID: I20200908003288

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Everett Family Vision is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Everett Family Vision
9610 Evergreen Way, Ste. A,
Everett, WA 98204-7102

Ph: (425) 353-5544
Everett Family Vision
9610 Evergreen Way, Ste. A,
Everett, WA 98204-7102

Ph: (425) 353-5544

Reviews and Comments


Optometrist in Everett, WA

David E. Harris, O.D.
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Phone: 425-261-1500    
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Miss Caitlin Elizabeth Golberg, OD
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Medicare: Medicare Enrolled
Practice Location: 3802 Colby Ave, Everett, WA 98201
Phone: 425-339-5436    Fax: 425-339-5402

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.