REDMOND VISION CLINIC
NPI 1477801264
Optometrist in Redmond, WA
About Redmond Vision Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REDMOND VISION CLINIC (NPI 1477801264) is a healthcare organization registered as an optometrist in Redmond, Washington and active in the NPI registry since August 2012. The organization lists Irene Koval, Optometric Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Redmond Vision Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Redmond Vision Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Redmond Vision Clinic, PLLC's NPI number?
The NPI number for Redmond Vision Clinic, PLLC is 1477801264. It was assigned to this organization in the NPPES registry on August 27, 2012. The provider is doing business as Redmond Vision Clinic.
Where is Redmond Vision Clinic, PLLC located?
Redmond Vision Clinic, PLLC is located at 17634 NE Union Hill Rd Unit 120, Redmond, WA 98052. The listed phone number is (425) 885-1974.
What is Redmond Vision Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Redmond Vision Clinic, PLLC enrolled in Medicare?
Yes. Redmond Vision Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Redmond Vision Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Redmond Vision Clinic, PLLC. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Redmond Vision Clinic, PLLC accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Redmond Vision Clinic, PLLC 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 Redmond Vision Clinic, PLLC was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Redmond Vision Clinic · NPI 1477801264
Optometrist organization in Redmond, Washington. Organization record, active in the CMS NPPES registry since August 27, 2012.
## Identity
- **NPI:** 1477801264 (Entity type: Organization)
- **Enumerated:** August 27, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Redmond Vision Clinic, Pllc
- **Organization subpart:** No
- **Authorized official:** Irene Koval, OPTOMETRIC PHYSICIAN
## Practice location
- **Address:** 17634 NE UNION HILL RD UNIT 120, Redmond, WA 98052
- **Phone:** (425) 885-1974 · **Fax:** (425) 882-7818
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1477801264) · Data from the CMS NPPES public registry.