MEDICARE: ROOSEVELT VISION CLINIC, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	601645494	WA

General Provider Information

NPI Number	:	1235109182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOSEVELT VISION CLINIC, PLLC

Provider Business Mailing Address
First Line	:	9706 4TH AVE NE STE 100
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-5688
Country	:	US
Telephone Number	:	206-527-2987
Fax Number	:	206-527-1208

Provider Business Practice Location Address
First Line	:	9706 4TH AVE NE STE 100
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98115-2199
Country	:	US
Telephone Number	:	206-527-2987
Fax Number	:	206-527-1208

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. KATHERINE YANG-WILLIAMS
Credential	:	O.D.
Telephone Number	:	206-527-2987

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	03/24/2026

Similar Medicare Providers

1104190453 — MANDY DI ALEXANDER
Practice Location Address:

9706 4TH AVE NE STE 303 , SOUND MENTAL HEALTH
SEATTLE, WA
98115-2199

Practice Phone: 206-302-2900
Practice Fax: 206-302-2210

1477995967 — HESUSA MARIE KROLL
Practice Location Address:

9706 4TH AVE NE STE 303 , NORTHGATE
SEATTLE, WA
98115-2199

Practice Phone: 206-302-2900
Practice Fax: 206-302-2910

1912331737 — PEGGY HOBBS B.A.
Practice Location Address:

9706 4TH AVE NE STE 303 , NORTHGATE
SEATTLE, WA
98115-2199

Practice Phone: 206-302-2900
Practice Fax: 206-302-2910

1003241613 — COLLEEN BLAIR SULLIVAN
Practice Location Address:

9706 4TH AVE NE STE 303 , NORTHGATE
SEATTLE, WA
98115-2199

Practice Phone: 206-302-2900
Practice Fax: 206-302-2210

1407689037 — MAPLE LEAF MENTAL HEALTH PLLC
Practice Location Address:

9706 4TH AVE NE STE 320
SEATTLE, WA
98115-2199

Practice Phone: 206-814-1455
Practice Fax:

1861330615 — COLIC AND PATEL PLLC, DBA ENDODONTICS NW
Practice Location Address:

9714 3RD AVE NE STE 203
SEATTLE, WA
98115-2046

Practice Phone: 206-525-1515
Practice Fax: 206-524-1014

Directions to “ROOSEVELT VISION CLINIC, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.