OrganizationActive
Lake Forest Vision
NPI 1710043161 · Durable Medical Equipment & Medical Supplies · Lake Forest Park, WA
Provider details
- NPI number
- 1710043161
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Gary Archer, Owner(206) 363-9292
- License
- OD00001793 (WA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
17171 Bothell Way Ne
Lake Forest Park, WA 98155-5534
Phone: (206) 363-9292
Fax: (206) 362-4620
Street-level locationGet directions
Mailing address
17171 Bothell Way Ne
Lake Forest Park, WA 98155-5534
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.