ALDERWOOD OPTOMETRIC SERVICES PLLC
NPI 1154867125
Optometrist in Lynnwood, WA
About Alderwood Optometric Services Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALDERWOOD OPTOMETRIC SERVICES PLLC (NPI 1154867125) is a healthcare organization registered as an optometrist in Lynnwood, Washington and active in the NPI registry since January 2017. The organization lists Andrea Mckinney, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Alderwood Optometric Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Alderwood Optometric Services PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Fort Collins, CO 80525
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 Alderwood Optometric Services PLLC's NPI number?
The NPI number for Alderwood Optometric Services PLLC is 1154867125. It was assigned to this organization in the NPPES registry on January 13, 2017.
Where is Alderwood Optometric Services PLLC located?
Alderwood Optometric Services PLLC is located at 2502 196th St SW Ste 14, Lynnwood, WA 98036. The listed phone number is (425) 772-2662.
What is Alderwood Optometric Services PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Alderwood Optometric Services PLLC enrolled in Medicare?
Yes. Alderwood Optometric Services PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Alderwood Optometric Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Alderwood Optometric Services 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 Alderwood Optometric Services 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 Alderwood Optometric Services 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 Alderwood Optometric Services PLLC was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Alderwood Optometric Services Pllc · NPI 1154867125
Optometrist organization in Lynnwood, Washington. Organization record, active in the CMS NPPES registry since January 13, 2017.
## Identity
- **NPI:** 1154867125 (Entity type: Organization)
- **Enumerated:** January 13, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Andrea Mckinney, OWNER
## Practice location
- **Address:** 2502 196TH ST SW STE 14, Lynnwood, WA 98036-7091
- **Phone:** (425) 772-2662
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 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:** February 14, 2018
- **Other identifiers:** Medicaid 2023596 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1154867125) · Data from the CMS NPPES public registry.