Queen Anne Eye Clinic - Medicare Optometrist in Seattle, WA

Queen Anne Eye Clinic is a medicare enrolled "Optometrist" provider in Seattle, Washington. Their current practice location is 20 Boston St, Seattle, Washington. You can reach out to their office (for appointments etc.) via phone at (206) 282-8120.

Queen Anne Eye Clinic is licensed to practice in Washington (license number 3645) and it also participates in the medicare program. Queen Anne Eye Clinic 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 1124289897.

Contact Information

Queen Anne Eye Clinic
20 Boston St,
Seattle, WA 98109-2319
(206) 282-8120
(206) 282-8046

Map and Direction




Healthcare Provider's Profile

Full NameQueen Anne Eye Clinic
TypeFacility
SpecialityOptometrist
Location20 Boston St, Seattle, Washington
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124289897
  • Provider Enumeration Date: 06/24/2008
  • Last Update Date: 05/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941190417
  • Enrollment ID: O20091215000440

Medical Identifiers

Medical identifiers for Queen Anne Eye Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124289897NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3645 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Queen Anne Eye Clinic acts as a billing entity for following providers:
Provider NamePhilip S Lo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1700841012
PECOS PAC ID: 8729081567
Enrollment ID: I20060816000220
Provider NameEric J Bergstrom
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588687040
PECOS PAC ID: 7416097969
Enrollment ID: I20091215000204
Provider NameChelsie Michelle Russ
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1376950212
PECOS PAC ID: 0749595122
Enrollment ID: I20150813011224
Provider NameCharissa Young
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1184976417
PECOS PAC ID: 5890083794
Enrollment ID: I20161010000494
Provider NameKristen Marie Chippi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1164971966
PECOS PAC ID: 9436437654
Enrollment ID: I20180601002122
Provider NameStephanie Michalko
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1629568928
PECOS PAC ID: 9234483041
Enrollment ID: I20181114002282
Provider NameCharanpreet Samra
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1730827445
PECOS PAC ID: 6103294855
Enrollment ID: I20221130001369
Provider NameBianca Cecile Luong
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1790422806
PECOS PAC ID: 7618347261
Enrollment ID: I20221223001023

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. Queen Anne Eye Clinic 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 AddressPractice Location Address
Queen Anne Eye Clinic
20 Boston St,
Seattle, WA 98109-2319

Ph: (206) 282-8120
Queen Anne Eye Clinic
20 Boston St,
Seattle, WA 98109-2319

Ph: (206) 282-8120

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.