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LAKE FOREST VISION
NPI 1710043161
Durable Medical Equipment & Medical Supplies in Lake Forest Park, WA

Active since December 29, 2006
17171 BOTHELL WAY NE, LAKE FOREST PARK, WA 98155(206) 363-9292(206) 362-4620 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Forest Vision NPPES

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

LAKE FOREST VISION (NPI 1710043161) is a healthcare organization registered as a durable medical equipment & medical supplies in Lake Forest Park, Washington and active in the NPI registry since December 2006. The organization lists Gary Phillip Archer, Owner, as its authorized official.

NPPES Registry Identity

NPI1710043161
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLAKE FOREST VISION
Location Address17171 BOTHELL WAY NELake Forest Park, WA 98155-5534
Mailing Address17171 Bothell Way NeLake Forest Park, WA 98155-5534 · (206) 363-9292 · Fax (206) 362-4620
Phone(206) 363-9292
Fax(206) 362-4620
Organization SubpartNo
Authorized OfficialGary Phillip ArcherOwner · (206) 363-9292
Enumeration DateDecember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710043161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in WA · OD00001793
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
17171 BOTHELL WAY NE, Lake Forest Park, WA 98155
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Other Providers at the Same Location NPPES 5

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

HAMID SOHRABY
Pharmacist
17171 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155
King County (206) 363-6364
ALLAN D. MINAHAN, DDS, PLLC
Dentist
17171 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155
King County (206) 365-5454
MS. MARY WOOD RN
Registered Nurse (Community Health)
17171 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155
King County (206) 363-6364
ROBERT R. UHLMANSIEK, D.D.S., P.S.
Clinic/Center (Dental)
17171 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155
King County (206) 365-5454
KHANG NHAT NGUYEN PHARMACY TECHNICIAN
Pharmacy Technician
17171 BOTHELL WAY NE
LAKE FOREST PARK, WA 98155
King County (206) 363-6364

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 Lake Forest Vision's NPI number?

The NPI number for Lake Forest Vision is 1710043161. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is Lake Forest Vision located?

Lake Forest Vision is located at 17171 Bothell Way NE, Lake Forest Park, WA 98155. The listed phone number is (206) 363-9292.

What is Lake Forest Vision's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Lake Forest Vision was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.