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WASHINGTON PACIFIC EYE ASSOCIATES
NPI 1265789390
Optometrist in Kirkland, WA

Active since August 08, 2012CLIA 50D2073118 · Waiver
134 CENTRAL WAY, WASHINGTON PACIFIC EYE ASSOCIATES, KIRKLAND, WA 98033(425) 889-2020(425) 739-0601 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Washington Pacific Eye Associates NPPES

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

WASHINGTON PACIFIC EYE ASSOCIATES (NPI 1265789390) is a healthcare organization registered as an optometrist in Kirkland, Washington and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Mark J Cannon, Chief Of Optometry, as its authorized official.

NPPES Registry Identity

NPI1265789390
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMARK J CANNON OD PS
Location Address134 CENTRAL WAY, WASHINGTON PACIFIC EYE ASSOCIATESKirkland, WA 98033-6106
Mailing Address134 Central Way, Washington Pacific Eye AssociatesKirkland, WA 98033-6106 · (425) 889-2020 · Fax (425) 739-0601
Phone(425) 889-2020
Fax(425) 739-0601
Organization SubpartNo
Authorized OfficialMark J CannonChief Of Optometry · (206) 714-8445
Enumeration DateAugust 8, 2012
✔ NPI 1265789390 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 · OD60160060
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.
134 CENTRAL WAY, Kirkland, WA 98033
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Other Names 1

Doing Business AsWashington Pacific Eye Associates

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

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 50D2073118

Washington Pacific Eye Associates · Kirkland, WA
Active · expires Apr 4, 2028
CLIA Number50D2073118
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSean Batson
Laboratory Phone(425) 889-2020
Laboratory LocationWashington Pacific Eye Associates134 Central Way, Kirkland, WA 98033
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 7

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

SEAN BATSON M.D.
Ophthalmology
134 CENTRAL WAY
KIRKLAND, WA 98033
King County (425) 889-2020
DR. ASHLEY NICHOLE DARTON DOCTOR OF OPTOMETRY
Optometrist
134 CENTRAL WAY
KIRKLAND, WA 98033
King County (425) 889-2020
JOSEPH I-FINE LEE
Optometrist
134 CENTRAL WAY
KIRKLAND, WA 98033
King County (425) 889-2020
DR. MATTHEW DAVID CALLEWAERT O.D.
Optometrist
134 CENTRAL WAY
KIRKLAND, WA 98033
King County (425) 889-2020
WASHINGTON PACIFIC EYE ASSOCIATES INC.
Ophthalmology
134 CENTRAL WAY
KIRKLAND, WA 98033
King County (425) 889-2020
DR. JENNIFER JUNG YUN LEE MD
Ophthalmology
134 CENTRAL WAY
KIRKLAND, WA 98033
King County (425) 889-2020
EVERGREEN CORPORATION
Pharmacy
134 CENTRAL WAY
KIRKLAND, WA 98033
King County (425) 803-6800

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 Mark J Cannon Od Ps's NPI number?

The NPI number for Mark J Cannon Od Ps is 1265789390. It was assigned to this organization in the NPPES registry on August 8, 2012. The provider is doing business as Washington Pacific Eye Associates.

Where is Mark J Cannon Od Ps located?

Mark J Cannon Od Ps is located at 134 Central Way Washington Pacific Eye Associates, Kirkland, WA 98033. The listed phone number is (425) 889-2020.

What is Mark J Cannon Od Ps's specialty?

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

Does Mark J Cannon Od Ps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2073118) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mark J Cannon Od Ps was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.