Overlake Eyecare P S is a medicare enrolled "Ophthalmology" provider in Bellevue, Washington. Their current practice location is
1837 156th Ave Ne, Suite 201, Bellevue, Washington. You can reach out to their office (for appointments etc.) via phone at
(425) 643-2020.
Overlake Eyecare P S is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Overlake Eyecare P S
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 1770580086.
Healthcare Provider's Profile
| Full Name | Overlake Eyecare P S |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 1837 156th Ave Ne, Bellevue, 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: 1770580086
- Provider Enumeration Date: 07/01/2005
- Last Update Date: 08/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 4284521170
- Enrollment ID: O20040304000152
Medical Identifiers
Medical identifiers for Overlake Eyecare P S such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770580086 | NPI | - | NPPES |
| 0149521 | Other | WA | WA L&I GROUP NUMBER |
| 2025047 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| 261QS0132X | Clinic/center - Ophthalmologic Surgery | (* (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.
Overlake Eyecare P S acts as a billing entity for following providers:
| Provider Name | Mary P Coday |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1689673238
PECOS PAC ID: 7618928649
Enrollment ID: I20050215000835 |
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| Provider Name | Irene Myung Ah Lee |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1770758971
PECOS PAC ID: 1557435450
Enrollment ID: I20161221001194 |
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| Provider Name | Adam Richard Smith |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1912591884
PECOS PAC ID: 6709242316
Enrollment ID: I20230523002279 |
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| Provider Name | Divya Raju |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1346618089
PECOS PAC ID: 8022318757
Enrollment ID: I20240411002682 |
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| Provider Name | Young Min Chung |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1790410637
PECOS PAC ID: 8325424708
Enrollment ID: I20241003001803 |
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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. Overlake Eyecare P S 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 |
|---|
Overlake Eyecare P S
1837 156th Ave Ne Ste 201,
Bellevue, WA 98007-4387
Ph: (425) 643-2020 | Overlake Eyecare P S
1837 156th Ave Ne, Suite 201,
Bellevue, WA 98007-4387
Ph: (425) 643-2020 |
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