ISSAQUAH VISION SOURCE, PS
NPI 1225195431
Optometrist in Issaquah, WA

NPI Status: Active since January 03, 2007

Contact Information

450 NW GILMAN BLVD
STE 104
ISSAQUAH, WA
ZIP 98027
Phone: (425) 392-8756
Fax: (425) 391-8631

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  • Organization
  • Optometrist
  • Accepts Insurance

About ISSAQUAH VISION SOURCE, PS

This page provides the complete NPI Profile along with additional information for Issaquah Vision Source, Ps, a provider established in Issaquah, Washington operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1225195431 assigned on January 2007. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Issaquah Vision Source, Ps. The authorized official of this NPI record is Dr. Stephan L. Cassidy Od (Owner)

NPI
1225195431
Provider Legal Name
STEPHAN CASSIDY OD PS
Other Organization Name
ISSAQUAH VISION SOURCE, PS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
450 NW GILMAN BLVD STE 104 ISSAQUAH, WA 98027
Location Phone
(425) 392-8756
Location Fax
(425) 391-8631
Mailing Address
450 NW GILMAN BLVD STE 104 ISSAQUAH, WA 98027
Mailing Phone
(425) 392-8756
Mailing Fax
(425) 391-8631
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2007
Last Update Date
07-11-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. STEPHAN L. CASSIDY OD

Authorized Official Title
OWNER
Authorized Official Phone
(425) 392-8756

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2081305MEDICAID (05)WA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1225195431
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245291046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 2 + 9 + 1 + 0 + 4 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1225195431 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962407734 BARRY A FEDER DDS, PS
Individual
Dentist (General Practice)450 NW GILMAN BLVD STE 103
ISSAQUAH, WA 98027
(425) 392-7541
1497736417 FAITH MCDEVITT LIIKALA R.PH.
Individual
Pharmacist450 NW GILMAN BLVD SUITE 107
ISSAQUAH, WA 98027
(425) 392-8650
1154303667MS. RHONDA JO RAVANI ARNP
Individual
Specialist450 NW GILMAN BLVD #203
ISSAQUAH, WA 98027
(425) 454-3938
1255311122KIM PRUESS NEVINS MD PLLC
Organization
Internal Medicine450 NW GILMAN BLVD STE 301A
ISSAQUAH, WA 98027
(425) 391-0313
1982684833 KIM ELIZABETH PRUESS NEVINS MD
Individual
Internal Medicine450 NW GILMAN BLVD SUITE 301A
ISSAQUAH, WA 98027
(425) 391-0313
1396710596WASHINGTON IMAGING SERVICES LLC
Organization
Specialist450 NW GILMAN BLVD STE. 105
ISSAQUAH, WA 98027
(425) 688-0100
1679630867DR. STEPHAN L CASSIDY O.D.
Individual
Optometrist450 NW GILMAN BLVD STE 104
ISSAQUAH, WA 98027
(425) 392-8756
1801947643DR. KAY HOWARD TAYLOR MD
Individual
Family Medicine450 NW GILMAN BLVD SUITE 205
ISSAQUAH, WA 98027
(425) 391-3737
1275674665 JAMES FEE YEE M.D.
Individual
Family Medicine450 NW GILMAN BLVD SUITE 301-A
ISSAQUAH, WA 98027
(425) 391-8645
1801927900SANDPOINT CLINIC PHARMACY INC
Organization
Pharmacy (Community/Retail Pharmacy)450 NW GILMAN BLVD STE 107
ISSAQUAH, WA 98027
(425) 392-8650
1366562035CASCADE FOOT & ANKLE
Organization
Podiatrist450 NW GILMAN BLVD SUITE 303
ISSAQUAH, WA 98027
(425) 391-8666
1760675169MR. JAMES GEOFFREY ORMISTON PT, OCS
Individual
Physical Therapist (Orthopedic)450 NW GILMAN BLVD SUITE 106
ISSAQUAH, WA 98027
(425) 392-0627
1104007939MR. KARL FREDERICK KUNDERT JR. PA-C
Individual
Physician Assistant (Medical)450 NW GILMAN BLVD SUITE 205
ISSAQUAH, WA 98027
(425) 391-3737
1932381225JAMES F YEE MD PLLC
Organization
Family Medicine450 NW GILMAN BLVD SUITE 301A
ISSAQUAH, WA 98027
(425) 391-8645
1821242678ISSAQUAH PRIMARY CARE ASSOCIATES PS
Organization
Clinic/Center450 NW GILMAN BLVD SUITE 205
ISSAQUAH, WA 98027
(425) 391-3737
1962649301CASCADE FOOT AND ANKLE
Organization
Podiatrist450 NW GILMAN BLVD SUITE 303
ISSAQUAH, WA 98027
(429) 391-8666
1083942114 KEYA CHISHOLM FNP-C
Individual
Nurse Practitioner (Family)450 NW GILMAN BLVD SUITE 201
ISSAQUAH, WA 98027
(425) 391-0705
1295093458MILLER FAMILY DERMATOLOGY, PLLC
Organization
Dermatology450 NW GILMAN BLVD 301A
ISSAQUAH, WA 98027
(425) 654-1275
1285948695DR. RIAN NIGHTINGALE SHAH ND
Individual
Naturopath450 NW GILMAN BLVD SUITE 205
ISSAQUAH, WA 98027
(425) 777-6143
1700288206 MARK WOODALL ND
Individual
Naturopath450 NW GILMAN BLVD STE 205
ISSAQUAH, WA 98027
(425) 391-5270

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225195431, enumerated in the NPI registry as an "organization" on January 03, 2007

The provider is located at 450 Nw Gilman Blvd Ste 104 Issaquah, Wa 98027 and the phone number is (425) 392-8756

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.