ISSAQUAH VISION SOURCE, PS
NPI 1225195431
Optometrist in Issaquah, WA

Q: What is Stephan Cassidy Od Ps's NPI number?

The NPI number for Stephan Cassidy Od Ps is 1225195431. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as Issaquah Vision Source, Ps.

Q: What is Stephan Cassidy Od Ps's specialty?

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

Active since January 03, 2007

450 NW GILMAN BLVD, STE 104, ISSAQUAH, WA 98027(425) 392-8756(425) 391-8631 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Issaquah Vision Source, Ps NPPES

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

ISSAQUAH VISION SOURCE, PS (NPI 1225195431) is a healthcare organization registered as an optometrist in Issaquah, Washington and active in the NPI registry since January 2007. The organization lists Stephan L. Cassidy, Owner, as its authorized official.

NPPES Registry Identity

NPI1225195431

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSTEPHAN CASSIDY OD PS

Location Address450 NW GILMAN BLVD, STE 104Issaquah, WA 98027-2483

Mailing Address450 Nw Gilman Blvd, Ste 104Issaquah, WA 98027-2483 · (425) 392-8756 · Fax (425) 391-8631

Phone(425) 392-8756

Fax(425) 391-8631

Organization SubpartNo

Authorized OfficialStephan L. CassidyOwner · (425) 392-8756

Enumeration DateJanuary 3, 2007

Last NPPES UpdateJuly 11, 2019

✔ NPI 1225195431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

450 NW GILMAN BLVD, Issaquah, WA 98027

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Other Names 1

Doing Business AsIssaquah Vision Source, Ps

Other Identifiers 1

Medicaid2081305WA

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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 20

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

MARIA MADELINE GREENBAUM LMP

Massage Therapist

450 NW GILMAN BLVD, SUITE 201
ISSAQUAH, WA 98027

King County (425) 835-2503

ISSAQUAH FOOT & ANKLE SPECIALISTS, P.L.L.C.

Podiatrist

450 NW GILMAN BLVD, SUITE 303
ISSAQUAH, WA 98027

King County (425) 391-8666

KEYA CHISHOLM FNP-C

Nurse Practitioner (Family)

450 NW GILMAN BLVD, SUITE 201
ISSAQUAH, WA 98027

King County (425) 391-0705

MR. KARL FREDERICK KUNDERT JR. PA-C

Physician Assistant (Medical)

450 NW GILMAN BLVD, SUITE 205
ISSAQUAH, WA 98027

King County (425) 391-3737

SUZANNE M. MINER PAC

Physician Assistant

450 NW GILMAN BLVD, SUITE 301A
ISSAQUAH, WA 98027

King County (425) 654-1275

ALEXANDER E HONN LMP, NASM CPT

Massage Therapist

450 NW GILMAN BLVD, SUITE 201
ISSAQUAH, WA 98027

King County (425) 835-2503

MS. RHONDA JO RAVANI ARNP

Specialist

450 NW GILMAN BLVD, #203
ISSAQUAH, WA 98027

King County (425) 454-3938

KIM PRUESS NEVINS MD PLLC

Internal Medicine

450 NW GILMAN BLVD, STE 301A
ISSAQUAH, WA 98027

King County (425) 391-0313

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 Stephan Cassidy Od Ps's NPI number?

The NPI number for Stephan Cassidy Od Ps is 1225195431. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as Issaquah Vision Source, Ps.

Where is Stephan Cassidy Od Ps located?

Stephan Cassidy Od Ps is located at 450 NW Gilman Blvd Ste 104, Issaquah, WA 98027. The listed phone number is (425) 392-8756.

What is Stephan Cassidy Od Ps's specialty?

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

What insurance does Stephan Cassidy Od Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Stephan Cassidy Od Ps 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 Stephan Cassidy Od Ps was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.