ADVANCED EYE CARE OF COVINGTON
NPI 1124420526
Optometrist in Covington, WA
About Advanced Eye Care Of Covington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED EYE CARE OF COVINGTON (NPI 1124420526) is a healthcare organization registered as an optometrist in Covington, Washington and active in the NPI registry since September 2014. The organization lists Grady Hollenbeck, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
Advanced Eye Care Of Covington is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Eye Care Of Covington, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Eye Doctors Northwest PLLC's NPI number?
The NPI number for Eye Doctors Northwest PLLC is 1124420526. It was assigned to this organization in the NPPES registry on September 17, 2014. The provider is doing business as Advanced Eye Care Of Covington.
Where is Eye Doctors Northwest PLLC located?
Eye Doctors Northwest PLLC is located at 17224 SE 272nd St Ste B, Covington, WA 98042. The listed phone number is (253) 528-3939.
What is Eye Doctors Northwest PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Eye Doctors Northwest PLLC enrolled in Medicare?
Yes. Eye Doctors Northwest PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eye Doctors Northwest PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Eye Doctors Northwest 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Eye Doctors Northwest PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Eye Doctors Northwest 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 Eye Doctors Northwest PLLC was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Advanced Eye Care Of Covington · NPI 1124420526
Optometrist organization in Covington, Washington. Organization record, active in the CMS NPPES registry since September 17, 2014.
## Identity
- **NPI:** 1124420526 (Entity type: Organization)
- **Enumerated:** September 17, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Eye Doctors Northwest Pllc
- **Organization subpart:** No
- **Authorized official:** Grady Hollenbeck, PRESIDENT
## Practice location
- **Address:** 17224 SE 272ND ST, STE B, Covington, WA 98042-4953
- **Phone:** (253) 528-3939
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2014
- **Other identifiers:** Medicare UPIN U98206
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Source: [NPI Profile](https://npiprofile.com/npi/1124420526) · Data from the CMS NPPES public registry.