TOTEM LAKE VISION CENTER
NPI 1235317637
Optometrist in Kirkland, WA

Active since February 07, 2008CLIA 50D2029238 · Waiver
11830 NE 128TH ST STE 1, KIRKLAND, WA 98034(425) 821-8900(425) 814-9782 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Totem Lake Vision Center NPPES

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

TOTEM LAKE VISION CENTER (NPI 1235317637) is a healthcare organization registered as an optometrist in Kirkland, Washington and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists David L Kading, President, as its authorized official.

NPPES Registry Identity

NPI1235317637
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSPECIALTY EYECARE GROUP INC
Location Address11830 NE 128TH ST STE 1Kirkland, WA 98034-7202
Mailing Address11830 Ne 128th St Ste 1Kirkland, WA 98034-7202 · (425) 821-8900 · Fax (425) 814-9782
Fax(425) 814-9782
Organization SubpartNo
Authorized OfficialDavid L KadingPresident · (425) 821-8900
Enumeration DateFebruary 7, 2008
✔ NPI 1235317637 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 · OD00004018
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.
11830 NE 128TH ST STE 1, Kirkland, WA 98034

Other Names 1

Doing Business AsTotem Lake Vision Center

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Totem Lake Vision Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Totem Lake Vision Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (13)

Optometry
NPI 1184976417
11830 NE 128TH ST STE 1
Kirkland, WA 98034
(425) 821-8900
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1861383085
11830 NE 128TH ST STE 1
Kirkland, WA 98034
(425) 821-8900
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1558882712
11830 NE 128TH ST STE 1
Kirkland, WA 98034
(425) 821-8900
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1013029719
11830 NE 128TH ST STE 1
Kirkland, WA 98034
(425) 821-8900
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1922315282
14050 JUANITA DR NE STE A
Kirkland, WA 98034
(425) 820-2020
✔ PECOS✔ Accepts Medicare3.0 mi
Optometry
NPI 1699138198
603 NW 65TH ST
Seattle, WA 98117
(206) 588-2814
✔ PECOS✔ Accepts Medicare8.9 mi
Optometry
NPI 1366510737
4317 FACTORIA BLVD SE A
Bellevue, WA 98006
(425) 391-3222
✔ PECOS✔ Accepts Medicare10 mi
Optometry
NPI 1417452921
14841 179TH AVE SE STE 110
Monroe, WA 98272
(360) 794-2020
✔ PECOS✔ Accepts Medicare14 mi
Optometry
NPI 1568201846
18321 VETERANS MEMORIAL DR E
Bonney Lake, WA 98391
(253) 400-2128
✔ PECOS✔ Accepts Medicare37 mi
Optometry
NPI 1487290763
15259 SE 82ND DR STE 101
Clackamas, OR 97015
(503) 657-0321
✔ PECOS✔ Accepts Medicare160 mi
Optometry
NPI 1780209304
250 W 5TH ST
Hanford, CA 93230
(877) 960-3426
✔ PECOS✔ Accepts Medicare797 mi
Optometry
NPI 1790281905
303 E 13TH ST
Huntingburg, IN 47542
(812) 683-4443
✔ PECOS✔ Accepts Medicare1,880 mi
Optometry
NPI 1790359263
133 E 58TH ST STE 1102
New York, NY 10022
(917) 970-9377
✔ PECOS✔ Accepts Medicare2,401 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 50D2029238

Specialty Eyecare Group · Kirkland, WA
Active · expires Apr 4, 2028
CLIA Number50D2029238
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2011
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDavid Kading
Laboratory Phone(425) 821-8900
Laboratory LocationSpecialty Eyecare Group11830 NE 128th St Ste 1, Kirkland, WA 98034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Specialty Eyecare Group Inc's NPI number?

The NPI number for Specialty Eyecare Group Inc is 1235317637. It was assigned to this organization in the NPPES registry on February 7, 2008. The provider is doing business as Totem Lake Vision Center.

Where is Specialty Eyecare Group Inc located?

Specialty Eyecare Group Inc is located at 11830 NE 128th St Ste 1, Kirkland, WA 98034. The listed phone number is (425) 821-8900.

What is Specialty Eyecare Group Inc's specialty?

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

Is Specialty Eyecare Group Inc enrolled in Medicare?

Yes. Specialty Eyecare Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialty Eyecare Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians, all in Optometry, reassign their Medicare billing to Specialty Eyecare Group Inc. 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, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Specialty Eyecare Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2029238) 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 Specialty Eyecare Group Inc 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 Specialty Eyecare Group 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 Specialty Eyecare Group Inc was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.