Overlake Eyecare, Ps | |
1837 156th Ave Ne, Ste 201, Bellevue, WA 98007-4387 | |
(425) 643-2020 | |
(425) 643-0859 |
Full Name | Overlake Eyecare, Ps |
---|---|
Type | Facility |
Speciality | Clinic/center - Ophthalmologic Surgery |
Location | 1837 156th Ave Ne, Bellevue, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770580086 | NPI | - | NPPES |
0149521 | Other | WA | WA L&I GROUP NUMBER |
2025047 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD00001765 (Washington) | Secondary |
261QS0132X | Clinic/center - Ophthalmologic Surgery | 602074929 (Washington) | Primary |
Provider Name | Mary P Coday |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1689673238 PECOS PAC ID: 7618928649 Enrollment ID: I20050215000835 |
Provider Name | Mark Christopher Barry |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326041666 PECOS PAC ID: 2365339256 Enrollment ID: I20110609000687 |
Provider Name | William Joseph Prothero |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144223405 PECOS PAC ID: 2668497181 Enrollment ID: I20110613000028 |
Provider Name | Herminder S Boparai |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639190150 PECOS PAC ID: 6204887565 Enrollment ID: I20140416000256 |
Provider Name | Joshlene Sandhu |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902841448 PECOS PAC ID: 4688690837 Enrollment ID: I20170320002160 |
Provider Name | Jasmin Dhesi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679566103 PECOS PAC ID: 9537101415 Enrollment ID: I20170329000745 |
Provider Name | Rebecca Lindsay |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1093006694 PECOS PAC ID: 2163721523 Enrollment ID: I20181004000126 |
Provider Name | Kathleen Buhler |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912955782 PECOS PAC ID: 7113985201 Enrollment ID: I20210420000272 |
Provider Name | Divya Raju |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346618089 PECOS PAC ID: 8022318757 Enrollment ID: I20240411002682 |
Mailing Address | Practice Location Address |
---|---|
Overlake Eyecare, Ps 1837 156th Ave Ne, Ste 201, Bellevue, WA 98007-4387 Ph: (425) 643-2020 | Overlake Eyecare, Ps 1837 156th Ave Ne, Ste 201, Bellevue, WA 98007-4387 Ph: (425) 643-2020 |