ROOSEVELT VISION CLINIC, PLLC
NPI 1235109182
Optometrist in Seattle, WA
About Roosevelt Vision Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROOSEVELT VISION CLINIC, PLLC (NPI 1235109182) is a healthcare organization registered as an optometrist in Seattle, Washington and active in the NPI registry since January 2006. The organization lists Katherine Yang-williams, Managing Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Roosevelt Vision Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Roosevelt Vision Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Roosevelt Vision Clinic, PLLC's NPI number?
The NPI number for Roosevelt Vision Clinic, PLLC is 1235109182. It was assigned to this organization in the NPPES registry on January 24, 2006.
Where is Roosevelt Vision Clinic, PLLC located?
Roosevelt Vision Clinic, PLLC is located at 9706 4th Ave NE Ste 100, Seattle, WA 98115. The listed phone number is (206) 527-2987.
What is Roosevelt Vision Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Roosevelt Vision Clinic, PLLC enrolled in Medicare?
Yes. Roosevelt Vision Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roosevelt Vision Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to Roosevelt Vision Clinic, 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, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Roosevelt Vision Clinic, PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Roosevelt Vision Clinic, 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 Roosevelt Vision Clinic, PLLC was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Roosevelt Vision Clinic, Pllc · NPI 1235109182
Optometrist organization in Seattle, Washington. Organization record, active in the CMS NPPES registry since January 24, 2006.
## Identity
- **NPI:** 1235109182 (Entity type: Organization)
- **Enumerated:** January 24, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Katherine Yang-Williams, MANAGING PARTNER
## Practice location
- **Address:** 9706 4TH AVE NE STE 100, Seattle, WA 98115-2199
- **Phone:** (206) 527-2987 · **Fax:** (206) 527-1208
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 6 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235109182) · Data from the CMS NPPES public registry.