OVERLAKE OPTICAL
NPI 1093830648
Eyewear Supplier in Bellevue, WA
About Overlake Optical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OVERLAKE OPTICAL (NPI 1093830648) is a healthcare organization registered as an eyewear supplier in Bellevue, Washington and active in the NPI registry since March 2007. The organization lists Karin Polzin, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Overlake Optical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Eye Clinic Of Bellevue Ltd Ps's NPI number?
The NPI number for Eye Clinic Of Bellevue Ltd Ps is 1093830648. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Overlake Optical.
Where is Eye Clinic Of Bellevue Ltd Ps located?
Eye Clinic Of Bellevue Ltd Ps is located at 1300 116th Ave NE, Bellevue, WA 98004. The listed phone number is (425) 454-7989.
What is Eye Clinic Of Bellevue Ltd Ps's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Is Eye Clinic Of Bellevue Ltd Ps enrolled in Medicare?
Yes. Eye Clinic Of Bellevue Ltd Ps is registered in the Medicare PECOS enrollment system.
When is Eye Clinic Of Bellevue Ltd Ps's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Washington, Physician - Optometrist) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Eye Clinic Of Bellevue Ltd Ps was last updated on August 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Overlake Optical · NPI 1093830648
Eyewear Supplier organization in Bellevue, Washington. Organization record, active in the CMS NPPES registry since March 20, 2007.
## Identity
- **NPI:** 1093830648 (Entity type: Organization)
- **Enumerated:** March 20, 2007
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Legal business name:** Eye Clinic Of Bellevue Ltd Ps
- **Organization subpart:** No
- **Authorized official:** Karin Polzin, OFFICE MANAGER
## Practice location
- **Address:** 1300 116TH AVE NE, Bellevue, WA 98004-3808
- **Phone:** (425) 454-7989 · **Fax:** (425) 454-7915
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (DME, Washington, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2011
- **Other identifiers:** Medicare NSC 0195900001 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1093830648) · Data from the CMS NPPES public registry.