OrganizationActive
Great Vision Northwest
NPI 1265807382 · Optometrist · Bellevue, WA
Provider details
- NPI number
- 1265807382
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Shane Durrant, Optometrist(614) 493-6440
- License
- 60189678 (WA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
14230 Ne 20th St
Suite C
Bellevue, WA 98007-3741
Phone: (425) 748-1000
Street-level locationGet directions
Mailing address
14230 Ne 20th St
Bellevue, WA 98007-3741
Registry dates
- Enumerated
- 2015-12-01
- Last updated
- 2015-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.