Children's Eye Care, Pc is a medicare enrolled "Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist" provider in Kirkland, Washington. Their current practice location is
11800 Ne 128th St Ste 430, Kirkland, Washington. You can reach out to their office (for appointments etc.) via phone at
(425) 823-3937.
Children's Eye Care, Pc is licensed to practice in NU (license number ) and it also participates in the medicare program. Children's Eye Care, Pc
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 1679723001.
Healthcare Provider's Profile
| Full Name | Children's Eye Care, Pc |
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| Type | Facility |
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| Speciality | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist |
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| Location | 11800 Ne 128th St Ste 430, Kirkland, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679723001
- Provider Enumeration Date: 09/22/2008
- Last Update Date: 05/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 7012423122
- Enrollment ID: O20250723004183
Medical Identifiers
Medical identifiers for Children's Eye Care, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679723001 | NPI | - | NPPES |
| 2305079 | Medicaid | WA | |
| 8228090 | Medicaid | WA | |
| 8433997 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152WP0200X | Optometrist - Pediatrics | (NU) | Secondary |
| 207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | (NU) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Children's Eye Care, Pc acts as a billing entity for following providers:
| Provider Name | Kenneth D Epley |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1588642003
PECOS PAC ID: 1951296383
Enrollment ID: I20080925000035 |
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| Provider Name | Vy Thuy Mai |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1831597715
PECOS PAC ID: 8628365921
Enrollment ID: I20210603003257 |
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| Provider Name | Jeannette Y Stallworth |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1194285882
PECOS PAC ID: 8628483336
Enrollment ID: I20230607002340 |
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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. Children's Eye Care, Pc 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 Address | Practice Location Address |
|---|
Children's Eye Care, Pc
11800 Ne 128th St Ste 430,
Kirkland, WA 98034-7299
Ph: (425) 823-3937 | Children's Eye Care, Pc
11800 Ne 128th St Ste 430,
Kirkland, WA 98034-7299
Ph: (425) 823-3937 |
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