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SUSAN P WYNNE PLLC
NPI 1568471001
Optometrist - Corneal and Contact Management in Redmond, WA

Active since August 05, 2006
15600 REDMOND WAY, #300, REDMOND, WA 98052(425) 882-2923(425) 968-8930 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2025, Nov 16, 2024, Oct 8, 2024 and 1 more (4 updates tracked since 2020).

About Susan P Wynne Pllc NPPES

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

SUSAN P WYNNE PLLC (NPI 1568471001), doing business as Eastside Vision Care, is a healthcare organization registered as a corneal and contact management in Redmond, Washington and active in the NPI registry since August 2006. The organization lists Susan Wynne, Owner, as its authorized official.

NPPES Registry Identity

NPI1568471001
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameSUSAN P WYNNE PLLC
Location Address15600 REDMOND WAY, #300Redmond, WA 98052
Mailing Address15600 Redmond Way, #300Redmond, WA 98052 · (425) 882-2923 · Fax (425) 968-8930
Phone(425) 882-2923
Fax(425) 968-8930
Organization SubpartNo
Authorized OfficialSusan WynneOwner · (425) 882-2923
Enumeration DateAugust 5, 2006
Last NPPES UpdateMay 6, 20254 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1568471001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Also ListedOptometristTaxonomy 152W00000X
15600 REDMOND WAY, Redmond, WA 98052
Open in Google Maps ↗

Other Names 1

Doing Business AsEastside Vision Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Susan P Wynne Pllc 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 Susan P Wynne PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Susan Wynne, O.D.
Optometry
NPI 1962448621
15600 REDMOND WAY STE 300
Redmond, WA 98052
(425) 882-2923
✔ PECOS✔ Accepts MedicareSame 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 Susan P Wynne PLLC's NPI number?

The NPI number for Susan P Wynne PLLC is 1568471001. It was assigned to this organization in the NPPES registry on August 5, 2006. The provider is doing business as Eastside Vision Care.

Where is Susan P Wynne PLLC located?

Susan P Wynne PLLC is located at 15600 Redmond Way #300, Redmond, WA 98052. The listed phone number is (425) 882-2923.

What is Susan P Wynne PLLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Susan P Wynne PLLC enrolled in Medicare?

Yes. Susan P Wynne PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Susan P Wynne PLLC?

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

What insurance does Susan P Wynne PLLC 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 Susan P Wynne 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 Susan P Wynne PLLC was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.