BALLARD EYE CLINIC PLLC
NPI 1083219752
Optometrist in Seattle, WA
About Ballard Eye Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BALLARD EYE CLINIC PLLC (NPI 1083219752), doing business as Northwest Vision Clinic, is a healthcare organization registered as an optometrist in Seattle, Washington and active in the NPI registry since December 2020. The organization lists Eric Bergstrom, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted 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)
Ballard Eye Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Ballard Eye Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Ballard Eye Clinic PLLC's NPI number?
The NPI number for Ballard Eye Clinic PLLC is 1083219752. It was assigned to this organization in the NPPES registry on December 1, 2020. The provider is doing business as Northwest Vision Clinic.
Where is Ballard Eye Clinic PLLC located?
Ballard Eye Clinic PLLC is located at 2201 NW Market St, Seattle, WA 98107. The listed phone number is (206) 789-7417.
What is Ballard Eye Clinic PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Ballard Eye Clinic PLLC enrolled in Medicare?
Yes. Ballard Eye Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ballard Eye Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Ballard Eye Clinic 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, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ballard Eye Clinic PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Ballard Eye Clinic 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 Ballard Eye Clinic PLLC was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ballard Eye Clinic Pllc · NPI 1083219752
Optometrist organization in Seattle, Washington. Organization record, active in the CMS NPPES registry since December 1, 2020.
## Identity
- **NPI:** 1083219752 (Entity type: Organization)
- **Enumerated:** December 1, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Also known as:** Northwest Vision Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Eric Bergstrom, OWNER
## Practice location
- **Address:** 2201 NW MARKET ST, Seattle, WA 98107-4025
- **Phone:** (206) 789-7417
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1083219752) · Data from the CMS NPPES public registry.