DR. EDWIN G AMBO
NPI 1336277102
Optometrist in Issaquah, WA

Q: What is Edwin Ambo's NPI number?

The NPI number for Edwin Ambo is 1336277102. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Edwin Ambo's specialty?

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

Q: Is Edwin Ambo enrolled in Medicare?

No. Edwin Ambo has opted out of Medicare through January 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Edwin Ambo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 01, 2007Opted out of Medicare · through Jan 27, 2027

1801 10TH AVE NW, ISSAQUAH, WA 98027(425) 369-6726 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Edwin G Ambo NPPES

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

DR. EDWIN G AMBO (NPI 1336277102) is an individual optometrist in Issaquah, Washington, licensed in Washington (1804T) and active in the NPI registry since March 2007. He has opted out of Medicare through January 27, 2027.

NPPES Registry Identity

NPI1336277102

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. EDWIN G AMBO

Location Address1801 10TH AVE NWIssaquah, WA 98027-5384

Mailing Address1801 10th Ave NwIssaquah, WA 98027-5384 · (425) 369-6726

Phone(425) 369-6726

Sole ProprietorYes

Enumeration DateMarch 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336277102 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 · 1804T

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.

1801 10TH AVE NW, Issaquah, WA 98027

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Edwin G Ambo has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 27, 2021 through January 27, 2027.

Opt-Out Effective DateJanuary 27, 2021

Opt-Out In Effect ThroughJanuary 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

DR. TRACY ANN BATES PHARMD

Pharmacist