CANNON EYECARE (AT PIKE PLACE'S MARKET OPTICAL)
NPI 1023777067
Optometrist in Seattle, WA

Q: What is Doctor Cannon PLLC's NPI number?

The NPI number for Doctor Cannon PLLC is 1023777067. It was assigned to this organization in the NPPES registry on December 16, 2021. The provider is doing business as Cannon Eyecare (at Pike Place's Market Optical).

Q: What is Doctor Cannon PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since December 16, 2021

1906 PIKE PLACE, SUITE 8-B, AT MARKET OPTICAL, SEATTLE, WA 98101(206) 448-7739(206) 448-4924 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 20, 2022, Dec 16, 2021 (2 updates tracked since 2021).

On this page

About Cannon Eyecare (at Pike Place's Market Optical) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANNON EYECARE (AT PIKE PLACE'S MARKET OPTICAL) (NPI 1023777067) is a healthcare organization registered as an optometrist in Seattle, Washington and active in the NPI registry since December 2021. The organization lists Miranda Murray Cannon, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1023777067

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDOCTOR CANNON PLLC

Location Address1906 PIKE PLACE, SUITE 8-B, AT MARKET OPTICALSeattle, WA 98101-1055

Mailing Address2602 Ne University Village St Ste BSeattle, WA 98105-5023 · (206) 522-9323 · Fax (206) 522-9323

Phone(206) 448-7739

Fax(206) 448-4924

Organization SubpartYesParent: Doctor Cannon Pllc

Authorized OfficialMiranda Murray CannonManaging Member · (206) 522-9323

Enumeration DateDecember 16, 2021

Last NPPES UpdateApril 25, 20232 updates tracked since enumeration

NPPES CertifiedApril 25, 2023

✔ NPI 1023777067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1906 PIKE PLACE, SUITE 8-B, Seattle, WA 98101

Open in Google Maps ↗

Other Names 1

Doing Business AsCannon Eyecare (at Pike Place's Market Optical)

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cannon Eyecare (at Pike Place's Market Optical) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Cannon Eyecare (at Pike Place's Market Optical), which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Miranda Cannon, O.D.

Optometry

NPI 1104130871

2602 NE UNIVERSITY VILLAGE ST SUITE B (AT MARKET OPTICAL)
Seattle, WA 98105

(206) 522-9323

✔ PECOS✔ Accepts Medicare4.2 mi

Mark Cannon, OD

Optometry

NPI 1407162936

1906 PIKE PLACE, #8-B
Seattle, WA 98101

(206) 448-7739

✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doctor Cannon PLLC's NPI number?

The NPI number for Doctor Cannon PLLC is 1023777067. It was assigned to this organization in the NPPES registry on December 16, 2021. The provider is doing business as Cannon Eyecare (at Pike Place's Market Optical).

Where is Doctor Cannon PLLC located?

Doctor Cannon PLLC is located at 1906 Pike Place, Suite 8-B At Market Optical, Seattle, WA 98101. The listed phone number is (206) 448-7739.

What is Doctor Cannon PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Doctor Cannon PLLC enrolled in Medicare?

Yes. Doctor Cannon PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Doctor Cannon PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Doctor Cannon PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Doctor Cannon PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Doctor Cannon PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Doctor Cannon PLLC was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.