| Blue Wave Eye Doctors Professional Limited Liability Company | |
|
305 Se Everett Mall Way Ste 21, Everett, WA 98208-3250 | |
| (425) 386-8428 | |
| (425) 267-0575 |
| Full Name | Blue Wave Eye Doctors Professional Limited Liability Company |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 305 Se Everett Mall Way Ste 21, Everett, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053060475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Amenda Y W Chou |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396822896 PECOS PAC ID: 3375564263 Enrollment ID: I20051207000457 |
| Provider Name | Patrick Gerard Squires |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114096146 PECOS PAC ID: 0547257123 Enrollment ID: I20070221000246 |
| Provider Name | Tom J Defigueiredo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205943867 PECOS PAC ID: 7719080886 Enrollment ID: I20070309000210 |
| Provider Name | Jaclyn T Phan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114078235 PECOS PAC ID: 3678657087 Enrollment ID: I20080225000168 |
| Provider Name | Karin Lea-anne Ma |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770659211 PECOS PAC ID: 4183756182 Enrollment ID: I20100709000051 |
| Provider Name | Patricia Y Jitodai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295052116 PECOS PAC ID: 8325172273 Enrollment ID: I20100814000264 |
| Provider Name | Kuljeet Singh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659424661 PECOS PAC ID: 1658497870 Enrollment ID: I20100924001122 |
| Provider Name | Katherine Diane Gunther |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124247044 PECOS PAC ID: 8820217573 Enrollment ID: I20140912000096 |
| Provider Name | Ashley D Mccain |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912261595 PECOS PAC ID: 5496977092 Enrollment ID: I20171206002966 |
| Provider Name | Prabhdeep Johal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801411574 PECOS PAC ID: 9830512516 Enrollment ID: I20200714001694 |
| Provider Name | Jasonpreet Dhaliwal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972176006 PECOS PAC ID: 7416330683 Enrollment ID: I20220822000445 |
| Provider Name | Mansi Dipak Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225455264 PECOS PAC ID: 7416279096 Enrollment ID: I20230109001755 |
| Provider Name | Jeff Chu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649601543 PECOS PAC ID: 0143691261 Enrollment ID: I20230126002978 |
| Provider Name | Pei Wen Hua |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740913375 PECOS PAC ID: 0749651651 Enrollment ID: I20230131002617 |
| Provider Name | Mohammad Alzeir |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750006409 PECOS PAC ID: 9436504347 Enrollment ID: I20231012003328 |
| Provider Name | Kirkland Devers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174242879 PECOS PAC ID: 0941656953 Enrollment ID: I20231027000770 |
| Provider Name | Vaishnavi Raghuram |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851769665 PECOS PAC ID: 6709186463 Enrollment ID: I20240716000092 |
| Provider Name | Crystal Sin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861264723 PECOS PAC ID: 6709322381 Enrollment ID: I20240718003653 |
| Provider Name | Gaganjot K Sidhu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578265468 PECOS PAC ID: 2062875818 Enrollment ID: I20241211000875 |
| Provider Name | Christina Su |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235976978 PECOS PAC ID: 0244779502 Enrollment ID: I20250429003760 |
| Provider Name | Taylor D Tedder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639364532 PECOS PAC ID: 6406944891 Enrollment ID: I20250701001022 |
| Provider Name | Susan Ziad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538058334 PECOS PAC ID: 9133627037 Enrollment ID: I20250811001305 |
| Provider Name | Shreya Saha |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710859376 PECOS PAC ID: 0547759300 Enrollment ID: I20251030004689 |
| Provider Name | Arabella Arabejo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700532231 PECOS PAC ID: 3072045194 Enrollment ID: I20260423002091 |
| Provider Name | Kenneth Chung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003194507 PECOS PAC ID: 7810113057 Enrollment ID: I20260625001330 |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Wave Eye Doctors Professional Limited Liability Company 175 E Houston St, San Antonio, TX 78205-2299 Ph: (726) 444-4078 | Blue Wave Eye Doctors Professional Limited Liability Company 305 Se Everett Mall Way Ste 21, Everett, WA 98208-3250 Ph: (425) 386-8428 |
David E. Harris, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 |
Vanessa Victoria Gregorius, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 12728 19th Ave Se # 102, Everett, WA 98208 Phone: 425-353-5544 |
Dr. William Stuart Church, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3700 Colby Ave, Everett, WA 98201 Phone: 425-252-3937 Fax: 425-259-3895 |
Silver Lake Eye Care Center Optometrist Medicare: Medicare Enrolled Practice Location: 10101 19th Ave Se Ste B, Everett, WA 98208 Phone: 763-762-3247 |
Dr. Anthony Michael Belekanich, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: Naval Branch Health Clinic Everett, 2000 West Marine View Drive, Everett, WA 98207 Phone: 425-304-4067 |
Dr. Willow Frances Thompson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10200 19th Ave Se, Everett, WA 98208 Phone: 425-379-7470 Fax: 425-321-0021 |
Miss Caitlin Elizabeth Golberg, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3802 Colby Ave, Everett, WA 98201 Phone: 425-339-5436 Fax: 425-339-5402 |