CANNON EYECARE (AT MARKET OPTICAL)
NPI 1578983532
Optometrist in Seattle, WA

Q: What is Doctor Cannon PLLC's NPI number?

The NPI number for Doctor Cannon PLLC is 1578983532. It was assigned to this organization in the NPPES registry on April 17, 2014. The provider is doing business as Cannon EyeCare. The provider is also known as Cannon Eyecare (at Market Optical).

Q: What is Doctor Cannon PLLC's specialty?

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

Active since April 17, 2014

2602 NE UNIVERSITY VILLAGE ST, SUITE B (AT MARKET OPTICAL), SEATTLE, WA 98105(206) 522-9323(206) 525-3841 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2022, Dec 26, 2015 (2 updates tracked since 2015).

On this page

About Cannon Eyecare (at Market Optical) NPPES

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

CANNON EYECARE (AT MARKET OPTICAL) (NPI 1578983532), doing business as Cannon Eyecare, is a healthcare organization registered as an optometrist in Seattle, Washington and active in the NPI registry since April 2014. The organization lists Miranda Cannon, Member, as its authorized official.

NPPES Registry Identity

NPI1578983532

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDOCTOR CANNON PLLC

Location Address2602 NE UNIVERSITY VILLAGE ST, SUITE B (AT MARKET OPTICAL)Seattle, WA 98105-5023

Mailing Address2602 Ne University Village St, Suite B (at Market Optical)Seattle, WA 98105-5023 · (206) 522-9323 · Fax (206) 525-3841

Phone(206) 522-9323

Fax(206) 525-3841

Organization SubpartNo

Authorized OfficialMiranda CannonMember · (206) 714-8606

Enumeration DateApril 17, 2014

Last NPPES UpdateSeptember 20, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2022

✔ NPI 1578983532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

2602 NE UNIVERSITY VILLAGE ST, Seattle, WA 98105

Open in Google Maps ↗

Other Names 2

Other NameCannon Eyecare (at Market Optical)

Doing Business AsCannon Eyecare

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

Cannon Eyecare (at Market Optical) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Cannon Eyecare (at Market Optical), which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Miranda Cannon, O.D.

Optometry

NPI 1104130871

2602 NE UNIVERSITY VILLAGE ST SUITE B (AT MARKET OPTICAL)
Seattle, WA 98105

(206) 522-9323

✔ PECOS✔ Accepts MedicareSame address

Mark Cannon, OD

Optometry

NPI 1407162936

1906 PIKE PLACE, #8-B
Seattle, WA 98101

(206) 448-7739

✔ PECOS✔ Accepts Medicare

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 Doctor Cannon PLLC's NPI number?

The NPI number for Doctor Cannon PLLC is 1578983532. It was assigned to this organization in the NPPES registry on April 17, 2014. The provider is doing business as Cannon EyeCare. The provider is also known as Cannon Eyecare (at Market Optical).

Where is Doctor Cannon PLLC located?

Doctor Cannon PLLC is located at 2602 NE University Village St Suite B (at Market Optical), Seattle, WA 98105. The listed phone number is (206) 522-9323.

What is Doctor Cannon PLLC's specialty?

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

Is Doctor Cannon PLLC enrolled in Medicare?

Yes. Doctor Cannon PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Doctor Cannon PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Doctor Cannon 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Doctor Cannon PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Doctor Cannon 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 Doctor Cannon PLLC was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.