WOODLAWN OPTICAL OF BOTHELL,INC
NPI 1609062298
Eyewear Supplier in Bothell, WA

Active since September 18, 2007
10116 MAIN ST, SUITE 102, BOTHELL, WA 98011(425) 486-7270(425) 481-7291 Get Directions Write a Review

NPPES record last updated: November 23, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Woodlawn Optical Of Bothell,inc NPPES

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

WOODLAWN OPTICAL OF BOTHELL,INC (NPI 1609062298) is a healthcare organization registered as an eyewear supplier in Bothell, Washington and active in the NPI registry since September 2007. The organization lists Paul Joseph Kavanagh, President, as its authorized official.

NPPES Registry Identity

NPI1609062298
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameWOODLAWN OPTICAL OF BOTHELL,INC
Location Address10116 MAIN ST, SUITE 102Bothell, WA 98011-3444
Mailing Address10116 Main St, Suite 102Bothell, WA 98011-3444 · (425) 486-7270 · Fax (425) 481-7291
Fax(425) 481-7291
Organization SubpartNo
Authorized OfficialPaul Joseph KavanaghPresident · (425) 486-7270
Enumeration DateSeptember 18, 2007
Last NPPES UpdateNovember 23, 2007
✔ NPI 1609062298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in WA · DO 00001478
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
10116 MAIN ST, Bothell, WA 98011

Other Identifiers 2

Medicare NSC5181070001WA
Medicaid2081206WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Woodlawn Optical Of Bothell,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20100930004881DME · OpticianDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Woodlawn Optical Of Bothell Inc carries, from the Medicare DMEPOS supplier directory.

Woodlawn Optical Of Bothell Inc

DMEPOS supplier · Bothell, WA
⋮

Does not accept Medicare assignment

Woodlawn Optical Of Bothell Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20587643
Medicare Participant SinceJuly 6, 2004
Supplier Location10116 Main St Ste 102Bothell, WA 98011
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

Massage Therapist
10116 MAIN ST, SUITE #103
BOTHELL, WA 98011

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 Woodlawn Optical Of Bothell,inc's NPI number?

The NPI number for Woodlawn Optical Of Bothell,inc is 1609062298. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Woodlawn Optical Of Bothell,inc located?

Woodlawn Optical Of Bothell,inc is located at 10116 Main St Suite 102, Bothell, WA 98011. The listed phone number is (425) 486-7270.

What is Woodlawn Optical Of Bothell,inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Is Woodlawn Optical Of Bothell,inc enrolled in Medicare?

Yes. Woodlawn Optical Of Bothell,inc is registered in the Medicare PECOS enrollment system.

When is Woodlawn Optical Of Bothell,inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Washington, Optician) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Woodlawn Optical Of Bothell,inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Woodlawn Optical Of Bothell Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Woodlawn Optical Of Bothell,inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Woodlawn Optical Of Bothell,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 Woodlawn Optical Of Bothell,inc was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.