BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY
NPI 1053060475
Optometrist in Everett, WA

Active since March 22, 2022
305 SE EVERETT MALL WAY STE 21, EVERETT, WA 98208(425) 386-8428(425) 267-0575 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2024, May 18, 2023, Dec 8, 2022 and 3 more (6 updates tracked since 2022).

About Blue Wave Eye Doctors Professional Limited Liability Company NPPES

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

BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY (NPI 1053060475) is a healthcare organization registered as an optometrist in Everett, Washington and active in the NPI registry since March 2022. The organization maintains 2 additional practice locations and lists Dolsie Mcdonald, Network Manager, as its authorized official.

NPPES Registry Identity

NPI1053060475
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY
Location Address305 SE EVERETT MALL WAY STE 21Everett, WA 98208-3250
Mailing Address175 E Houston StSan Antonio, TX 78205-2299 · (726) 444-4078
Fax(425) 267-0575
Organization SubpartNo
Authorized OfficialDolsie McdonaldNetwork Manager · (726) 444-4078
Enumeration DateMarch 22, 2022
Last NPPES UpdateMay 14, 20246 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
NPI 1053060475 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.

305 SE EVERETT MALL WAY STE 21, Everett, WA 98208

Secondary Practice Locations 2

Location 1921 N 10th St Ste BRenton, WA 98057-5591 · Phone (425) 255-1022
Location 23801 S Steele St Unit ATacoma, WA 98409-7317 · Phone (253) 317-2704

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
305 SE EVERETT MALL WAY STE 21
EVERETT, WA 98208
Eyewear Supplier
305 SE EVERETT MALL WAY STE 21
EVERETT, WA 98208

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 Blue Wave Eye Doctors Professional Limited Liability Company's NPI number?

The NPI number for Blue Wave Eye Doctors Professional Limited Liability Company is 1053060475. It was assigned to this organization in the NPPES registry on March 22, 2022.

Where is Blue Wave Eye Doctors Professional Limited Liability Company located?

Blue Wave Eye Doctors Professional Limited Liability Company is located at 305 SE Everett Mall Way Ste 21, Everett, WA 98208. The listed phone number is (425) 386-8428.

What is Blue Wave Eye Doctors Professional Limited Liability Company's specialty?

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

When was this NPI record last updated?

The NPPES record for Blue Wave Eye Doctors Professional Limited Liability Company was last updated on May 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.