MILL CREEK VISION
NPI 1194094490
Optometrist in Mill Creek, WA

Active since December 15, 2011CLIA 50D2069335 · Waiver
15808 MILL CREEK BLVD, SUITE #110, MILL CREEK, WA 98012(425) 745-5650(425) 337-1342 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mill Creek Vision NPPES

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

MILL CREEK VISION (NPI 1194094490) is a healthcare organization registered as an optometrist in Mill Creek, Washington and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Fred Masato Arima, Pres, as its authorized official.

NPPES Registry Identity

NPI1194094490
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMILL CREEK EYE AND CONTACT LENS CLINIC, INC.
Location Address15808 MILL CREEK BLVD, SUITE #110Mill Creek, WA 98012-1500
Mailing Address15808 Mill Creek Blvd, Suite #110Mill Creek, WA 98012-1500 · (425) 745-5650 · Fax (425) 337-1342
Fax(425) 337-1342
Organization SubpartNo
Authorized OfficialFred Masato ArimaPres · (425) 745-5650
Enumeration DateDecember 15, 2011
Last NPPES UpdateJune 20, 2018
NPI 1194094490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WA · 1409
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.
15808 MILL CREEK BLVD, Mill Creek, WA 98012

Other Names 1

Doing Business AsMill Creek Vision

Other Identifiers 1

Medicaid2011344WA

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2069335

Mill Creek Vision · Mill Creek, WA
Active · expires Apr 4, 2028
CLIA Number50D2069335
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2013
Certificate Expiration DateApril 4, 2028
Laboratory DirectorFred Arima
Laboratory Phone(425) 745-5650
Laboratory LocationMill Creek Vision15808 Mill Creek Blvd Ste 110, Mill Creek, WA 98012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

Advanced Practice Midwife
15808 MILL CREEK BLVD, STE 200
MILL CREEK, WA 98012
Obstetrics & Gynecology
15808 MILL CREEK BLVD, SUITE #200
MILL CREEK, WA 98012
Obstetrics & Gynecology
15808 MILL CREEK BLVD, SUITE 200
MILL CREEK, WA 98012
Dentist (Endodontics)
15808 MILL CREEK BLVD, 202
MILL CREEK, WA 98012
Physical Therapist
15808 MILL CREEK BLVD
MILL CREEK, WA 98012
Optometrist
15808 MILL CREEK BLVD, SUITE 110
MILL CREEK, WA 98012
Dentist (General Practice)
15808 MILL CREEK BLVD, SUITE 130
MILL CREEK, WA 98012
Pediatrics
15808 MILL CREEK BLVD, SUITE 201
MILL CREEK, WA 98012

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 Mill Creek Eye And Contact Lens Clinic, Inc.'s NPI number?

The NPI number for Mill Creek Eye And Contact Lens Clinic, Inc. is 1194094490. It was assigned to this organization in the NPPES registry on December 15, 2011. The provider is doing business as Mill Creek Vision.

Where is Mill Creek Eye And Contact Lens Clinic, Inc. located?

Mill Creek Eye And Contact Lens Clinic, Inc. is located at 15808 Mill Creek Blvd Suite #110, Mill Creek, WA 98012. The listed phone number is (425) 745-5650.

What is Mill Creek Eye And Contact Lens Clinic, Inc.'s specialty?

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

Does Mill Creek Eye And Contact Lens Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2069335) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mill Creek Eye And Contact Lens Clinic, Inc. accept?

Health plans from BlueCross BlueShield of Tennessee and Premera Blue Cross Blue Shield of Alaska list Mill Creek Eye And Contact Lens Clinic, Inc. 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 Mill Creek Eye And Contact Lens Clinic, Inc. was last updated on June 20, 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.