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OVERLAKE VISION CLINIC, LLC
NPI 1386923654
Clinic/Center in Redmond, WA

Active since August 04, 2011
2200 148TH AVE NE, REDMOND, WA 98052(425) 644-6581 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Overlake Vision Clinic, Llc NPPES

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

OVERLAKE VISION CLINIC, LLC (NPI 1386923654) is a healthcare organization registered as a clinic/center in Redmond, Washington and active in the NPI registry since August 2011. The organization lists Mina Mitsuoka, Optometric Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1386923654
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOVERLAKE VISION CLINIC, LLC
Location Address2200 148TH AVE NERedmond, WA 98052-5524
Mailing Address15902 Ne 27th PlBellevue, WA 98008-2248 · (310) 487-2783
Phone(425) 644-6581
Organization SubpartNo
Authorized OfficialMina MitsuokaOptometric Physician/owner · (310) 487-2783
Enumeration DateAugust 4, 2011
✔ NPI 1386923654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WA · 60226320
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2200 148TH AVE NE, Redmond, WA 98052
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Other Providers at the Same Location NPPES

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

KEVIN W CROSBY
Hearing Instrument Specialist
2200 148TH AVE NE
REDMOND, WA 98052
King County (425) 747-4037

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 Overlake Vision Clinic, LLC's NPI number?

The NPI number for Overlake Vision Clinic, LLC is 1386923654. It was assigned to this organization in the NPPES registry on August 4, 2011.

Where is Overlake Vision Clinic, LLC located?

Overlake Vision Clinic, LLC is located at 2200 148th Ave NE, Redmond, WA 98052. The listed phone number is (425) 644-6581.

What is Overlake Vision Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Overlake Vision Clinic, LLC was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.