Provider Demographics
NPI:1982789863
Name:OVERLAKE EYE DESIGNS, P.C.
Entity Type:Organization
Organization Name:OVERLAKE EYE DESIGNS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BESSIE
Authorized Official - Middle Name:MING-YI
Authorized Official - Last Name:PIAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:425-562-2015
Mailing Address - Street 1:15350 BEL RED RD UNIT 130
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-7366
Mailing Address - Country:US
Mailing Address - Phone:425-562-2015
Mailing Address - Fax:425-562-2010
Practice Address - Street 1:15350 BEL RED RD UNIT 130
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-7366
Practice Address - Country:US
Practice Address - Phone:425-562-2015
Practice Address - Fax:425-562-2010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWA 3422 TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty