MEDICARE: K. DAVID EPLEY M.D.

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	207W00000X	Ophthalmology Physician	MD00036319	WA
2	207WX0110X	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	MD00036319	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180033374	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	EP4302	OTHER		REGENCE HEALTHCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0122940	OTHER	WA	LABOR & INDUSTRIES

General Provider Information

NPI Number	:	1588642003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	K. DAVID EPLEY M.D.

Provider Business Mailing Address
First Line	:	11800 NE 128TH ST
Second Line	:	SUITE 430
City	:	KIRKLAND
State	:	WA
Zip	:	98034-7208
Country	:	US
Telephone Number	:	425-823-3937
Fax Number	:	425-823-7479

Provider Business Practice Location Address
First Line	:	11800 NE 128TH ST
Second Line	:	SUITE 430
City	:	KIRKLAND
State	:	WA
Zip	:	98034-7208
Country	:	US
Telephone Number	:	425-823-3937
Fax Number	:	425-823-7479

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	12/26/2024

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Directions to “ K. DAVID EPLEY M.D.” Practice Location

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