| Roosevelt Vision Source, Pllc | |
|
9706 4th Ave Ne Ste 100, Seattle, WA 98115-2199 | |
| (206) 527-2987 | |
| (206) 527-1208 |
| Full Name | Roosevelt Vision Source, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9706 4th Ave Ne Ste 100, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235109182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 601645494 (Washington) | Primary |
| Provider Name | Elizabeth Y Chang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396896833 PECOS PAC ID: 4284624586 Enrollment ID: I20040518000234 |
| Provider Name | Rachael S Henrie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982794657 PECOS PAC ID: 4880625060 Enrollment ID: I20050826000883 |
| Provider Name | Katherine Yang-williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699774844 PECOS PAC ID: 3870686579 Enrollment ID: I20070912000016 |
| Provider Name | Helen H Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730343880 PECOS PAC ID: 5597829838 Enrollment ID: I20090130000402 |
| Provider Name | B. Michael Samek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326013756 PECOS PAC ID: 7012098858 Enrollment ID: I20100908000454 |
| Provider Name | Jessica Anh Inman Kennedy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306199021 PECOS PAC ID: 5294977542 Enrollment ID: I20161230001643 |
| Mailing Address | Practice Location Address |
|---|---|
| Roosevelt Vision Source, Pllc 7001 Roosevelt Way Ne, Seattle, WA 98115-5649 Ph: (206) 527-2987 | Roosevelt Vision Source, Pllc 9706 4th Ave Ne Ste 100, Seattle, WA 98115-2199 Ph: (206) 527-2987 |
Kelly K Malueg, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1519 Alaskan Way S, Base Seattle Medical, Seattle, WA 98134 Phone: 206-217-6432 Fax: 206-217-6636 | |
Isaac H Varon Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6331 Hampton Rd S, Seattle, WA 98118 Phone: 206-725-2748 | |
Westlake Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 400 Pine St Ste 30, Seattle, WA 98101 Phone: 206-624-4898 | |
Dr. Zhi Neng Feng, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 4720 42nd Ave Sw, Seattle, WA 98116 Phone: 206-588-1037 | |
Stephen D Nevett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 401 Ne Northgate Way Spc 1101, Seattle, WA 98125 Phone: 206-364-2273 Fax: 206-364-2576 | |
Dr. Diana Chau, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9800 4th Ave Ne, Seattle, WA 98115 Phone: 206-302-1200 | |
Cannon Eyecare (at Pike Place's Market Optical) Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1906 Pike Place, Suite 8-b, At Market Optical, Seattle, WA 98101 Phone: 206-448-7739 Fax: 206-448-4924 |