Blue Wave Eye Doctors Professional Limited Liability Company
NPI 1053060475ActiveOrganization· Optometrist· Everett, WA
Optometrist in Everett, Washington, registered in NPPES in March 2022. The authorized official on file is Dolsie McDonald, Network Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053060475 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2022 |
| Last updated in NPPES | May 14, 2024 |
| Certified by provider | May 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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