OrganizationActive
Mark J Cannon OD Ps
NPI 1265789390 · Optometrist · Kirkland, WA
Mark J Cannon OD Ps is a Optometrist organization in Kirkland, WA (NPI 1265789390).
Provider details
- NPI number
- 1265789390
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Mark Cannon, Chief of Optometry(206) 714-8445
- License
- OD60160060 (WA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
134 Central Way
Washington Pacific Eye Associates
Kirkland, WA 98033-6106
Phone: (425) 889-2020
Fax: (425) 739-0601
Street-level locationGet directions
Mailing address
134 Central Way
Kirkland, WA 98033-6106
Other names (DBA / former)
- Doing business as
- Washington Pacific Eye Associates
Registry dates
- Enumerated
- 2012-08-08
- Last updated
- 2012-08-08
Frequently asked questions
- What is Mark J Cannon OD Ps's NPI number?
- Mark J Cannon OD Ps's National Provider Identifier (NPI) is 1265789390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark J Cannon OD Ps?
- Mark J Cannon OD Ps is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Mark J Cannon OD Ps located?
- Mark J Cannon OD Ps's practice location on file with NPPES is 134 Central Way, Kirkland, WA 98033-6106.
- What is Mark J Cannon OD Ps's phone number?
- The practice phone number listed in the NPPES registry for Mark J Cannon OD Ps is (425) 889-2020.
- Who is the authorized official for Mark J Cannon OD Ps?
- The authorized official listed on Mark J Cannon OD Ps's NPPES record is Mark Cannon, Chief of Optometry. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark J Cannon OD Ps's NPI active?
- Yes — Mark J Cannon OD Ps's NPI (1265789390) is active in the NPPES registry as of the last update on 2012-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.