Blue Wave Eye Doctors Professional Limited Liability Company
NPI 1053060475 · Optometrist · Everett, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Wave Eye Doctors Professional Limited Liability Company is a Optometrist organization in Everett, WA (NPI 1053060475).
Provider details
- NPI number
- 1053060475
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Dolsie Mcdonald, Network Manager(726) 444-4078
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 921 N 10th St Ste BRenton, WA 98057-5591Phone: (425) 255-1022
- 3801 S Steele St Unit aTacoma, WA 98409-7317Phone: (253) 317-2704
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2024-05-14
- Certified
- 2024-05-14
Frequently asked questions
- What is Blue Wave Eye Doctors Professional Limited Liability Company's NPI number?
- Blue Wave Eye Doctors Professional Limited Liability Company's National Provider Identifier (NPI) is 1053060475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Wave Eye Doctors Professional Limited Liability Company?
- Blue Wave Eye Doctors Professional Limited Liability Company is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Blue Wave Eye Doctors Professional Limited Liability Company located?
- Blue Wave Eye Doctors Professional Limited Liability Company's practice location on file with NPPES is 305 Se Everett Mall Way Ste 21, Everett, WA 98208-3250.
- What is Blue Wave Eye Doctors Professional Limited Liability Company's phone number?
- The practice phone number listed in the NPPES registry for Blue Wave Eye Doctors Professional Limited Liability Company is (425) 386-8428.
- Does Blue Wave Eye Doctors Professional Limited Liability Company accept Medicare?
- Blue Wave Eye Doctors Professional Limited Liability Company is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue Wave Eye Doctors Professional Limited Liability Company?
- The authorized official listed on Blue Wave Eye Doctors Professional Limited Liability Company's NPPES record is Dolsie Mcdonald, Network Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Wave Eye Doctors Professional Limited Liability Company's NPI active?
- Yes — Blue Wave Eye Doctors Professional Limited Liability Company's NPI (1053060475) is active in the NPPES registry as of the last update on 2024-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.