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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. J. SONG, OPTOMETRIST, INC.
NPI 1336320068
Optometrist in Bellevue, WA

Active since November 22, 2007
17 148TH AVE SE, STE A, BELLEVUE, WA 98007(425) 644-6478(425) 644-6476 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Sep 4, 2018 (2 updates tracked since 2018).

About Dr. J. Song, Optometrist, Inc. NPPES

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

DR. J. SONG, OPTOMETRIST, INC. (NPI 1336320068), doing business as Lake Hills Eye Clinic, is a healthcare organization registered as an optometrist in Bellevue, Washington and active in the NPI registry since November 2007. The organization lists Richard Song, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1336320068
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDR. J. SONG, OPTOMETRIST, INC.
Location Address17 148TH AVE SE, STE ABellevue, WA 98007-5164
Mailing AddressPo Box 394Bellevue, WA 98009-0394 · (425) 644-6478 · Fax (425) 644-6476
Phone(425) 644-6478
Fax(425) 644-6476
Organization SubpartNo
Authorized OfficialRichard SongPresident & Ceo · (425) 644-6478
Enumeration DateNovember 22, 2007
Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1336320068 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 · OD00004160
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.
17 148TH AVE SE, Bellevue, WA 98007
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Other Names 1

Doing Business AsLake Hills Eye Clinic

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 Ambetter Health, Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee and more.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)

Dr. J. Song, Optometrist, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. J. Song, Optometrist, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Richard Song, OD
Optometry
NPI 1811072028
17 148TH AVE SE STE A
Bellevue, WA 98007
(425) 644-6478
✔ PECOSSame address

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 Dr. J. Song, Optometrist, Inc.'s NPI number?

The NPI number for Dr. J. Song, Optometrist, Inc. is 1336320068. It was assigned to this organization in the NPPES registry on November 22, 2007. The provider is doing business as Lake Hills Eye Clinic.

Where is Dr. J. Song, Optometrist, Inc. located?

Dr. J. Song, Optometrist, Inc. is located at 17 148th Ave SE Ste A, Bellevue, WA 98007. The listed phone number is (425) 644-6478.

What is Dr. J. Song, Optometrist, Inc.'s specialty?

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

Is Dr. J. Song, Optometrist, Inc. enrolled in Medicare?

Yes. Dr. J. Song, Optometrist, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. J. Song, Optometrist, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dr. J. Song, Optometrist, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dr. J. Song, Optometrist, Inc. accept?

Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee and Premera Blue Cross Blue Shield of Alaska list Dr. J. Song, Optometrist, 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 Dr. J. Song, Optometrist, Inc. was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.