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EYE ASSOCIATES NORTHWEST
NPI 1811952815
Ophthalmology in Seattle, WA

Active since April 20, 2006CLIA 50D2072347 · Waiver
1101 MADISON ST STE 600, SEATTLE, WA 98104(206) 215-2020(206) 215-2022 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 4, 2024, Dec 6, 2022, Dec 15, 2021 and 1 more (4 updates tracked since 2021).

About Eye Associates Northwest NPPES

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

EYE ASSOCIATES NORTHWEST (NPI 1811952815) is a healthcare organization registered as an ophthalmology in Seattle, Washington and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains 5 additional practice locations, and lists Rosa Angelica Campos, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1811952815
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE ASSOCIATES NORTHWEST, PLLC
Location Address1101 MADISON ST STE 600Seattle, WA 98104-1340
Mailing Address1101 Madison St, Suite 600Seattle, WA 98104-1306 · (206) 215-2020 · Fax (206) 215-2022
Phone(206) 215-2020
Fax(206) 215-2022
Organization SubpartNo
Authorized OfficialRosa Angelica CamposCredentialing Manager · (206) 215-2004
Enumeration DateApril 20, 2006
Last NPPES UpdateJanuary 4, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1811952815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedEyewear SupplierTaxonomy 332H00000X
1101 MADISON ST STE 600, Seattle, WA 98104
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Other Names 1

Doing Business AsEye Associates Northwest

Secondary Practice Locations 5

Location 11455 NW Leary Way Ste 300Seattle, WA 98107-5138 · Phone (206) 784-3350 · Fax (206) 215-2022
Location 221616 76th Ave W Ste 110Edmonds, WA 98026-7512 · Phone (425) 775-0548 · Fax (206) 215-2022
Location 3155 NE 100th St Ste 110Seattle, WA 98125-8007 · Phone (206) 363-8855 · Fax (206) 215-2022
Location 411325 NE 120th StKirkland, WA 98034-6907 · Phone (425) 821-6655 · Fax (425) 821-8836
Location 511919 NE 128th St Ste AKirkland, WA 98034-7204 · Phone (425) 821-6655 · Fax (206) 215-2022

Other Identifiers 1

Medicaid1019625WA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Associates Northwest is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Eye Associates Northwest, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 15 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Ophthalmology11
Optometry4

Clinicians, nearest first (15)

Thomas Copperman, MD
Ophthalmology
NPI 1710220330
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts MedicareSame address
Vanessa Franklin, O.D.
Optometry
NPI 1730538059
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts MedicareSame address
Annisa Jamil, M.D.
Ophthalmology
NPI 1629006135
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts MedicareSame address
Thao Phuong Le, MD
Ophthalmology
NPI 1578906988
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 212-2020
✔ PECOS✔ Accepts MedicareSame address
Christina Lieu, MD
Ophthalmology
NPI 1689179293
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts MedicareSame address
Timothy Mock, O.D.
Optometry
NPI 1063961654
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts MedicareSame address
Shawn Nash, D.O.
Ophthalmology
NPI 1801203088
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts MedicareSame address
Anastasia Porter, MD
Ophthalmology
NPI 1922164607
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts MedicareSame address
Erica Uman, OD
Optometry
NPI 1629613146
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts MedicareSame address
Nathan Wilbanks, M.D.
Ophthalmology
NPI 1801275490
1101 MADISON ST STE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts MedicareSame address
Theodore Zollman, MD
Ophthalmology
NPI 1003925785
1101 MADISON ST STE. 600
Seattle, WA 98104
(206) 215-2020
✔ PECOS✔ Accepts MedicareSame address
Daniel Kelly, M.D.
Ophthalmology
NPI 1578541090
1101 MADISON ST SUITE 600
Seattle, WA 98104
(206) 215-2020
✔ PECOSSame address
Brant Carroll, M.D.
Ophthalmology
NPI 1154307999
1455 NW LEARY WAY SUITE 300
Seattle, WA 98107
(206) 784-3350
✔ PECOS✔ Accepts Medicare4.5 mi
Anita Lam, O.D.
Optometry
NPI 1417933250
1455 NW LEARY WAY SUITE 300
Seattle, WA 98107
(206) 784-3350
✔ PECOS✔ Accepts Medicare4.5 mi
Jeanna Hoyt, M.D.
Ophthalmology
NPI 1548246689
155 NE 100TH ST SUITE 110
Seattle, WA 98125
(206) 363-8855
✔ PECOS✔ Accepts Medicare6.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2072347

Eye Associates Northwest PC · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2072347
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorD Patrick Kelly
Laboratory Phone(206) 215-2020
Laboratory LocationEye Associates Northwest PC1101 Madison St Ste 600, Seattle, WA 98104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Eye Associates Northwest, PLLC's NPI number?

The NPI number for Eye Associates Northwest, PLLC is 1811952815. It was assigned to this organization in the NPPES registry on April 20, 2006. The provider is doing business as Eye Associates Northwest.

Where is Eye Associates Northwest, PLLC located?

Eye Associates Northwest, PLLC is located at 1101 Madison St Ste 600, Seattle, WA 98104. The listed phone number is (206) 215-2020.

What is Eye Associates Northwest, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Eye Associates Northwest, PLLC enrolled in Medicare?

Yes. Eye Associates Northwest, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye Associates Northwest, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Eye Associates Northwest, 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. The largest specialties are Ophthalmology (11) and Optometry (4). Of these, 12 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eye Associates Northwest, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2072347) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eye Associates Northwest, PLLC was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.