EYE INSTITUTE, PC – Ophthalmology Physician, NPI 1174724215

EYE INSTITUTE, PC is a healthcare provider. based in Issaquah, Washington. specializing in Ophthalmology Physician. The organization holds a License No. MD00048106 (WA). The NPI Number for EYE INSTITUTE, PC is 1174724215

Main info

Organization
Name
EYE INSTITUTE, PC
NPI
1174724215
Phone
(425) 606-1359
Address
1301 4TH AVE NW
Authorized Official
DR. BARRY VAUGHN SANDOVAL OWNER MD
Enumeration Date
29 May 2007
Last Update Date
25 April 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for EYE INSTITUTE, PC

  • 4th Avenue Northwest, Issaquah, King County, Washington, 98027-2604, United States

    SUITE 200

    ISSAQUAH, WA 980279371

    Phone: (425) 606-1359

    Fax: (425) 642-8290

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20111102000586OClinic/Group PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98027)

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Reviews

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Frequently asked questions

Does EYE INSTITUTE, PC have a public NPI I can cite?
Public records show EYE INSTITUTE, PC under NPI 1174724215.
Is EYE INSTITUTE, PC's NPI status active today?
Active status means EYE INSTITUTE, PC's NPI record is not deactivated in the public file.
What type of care does EYE INSTITUTE, PC provide?
EYE INSTITUTE, PC's profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit EYE INSTITUTE, PC in Issaquah, Washington?
For routing, start with Issaquah, Washington for EYE INSTITUTE, PC, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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