Individual provider Active NPI

Mark Dwayne Pyle, O.D.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1124351796
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60110615 Issued in WA
Practice address
5406 Leary Ave NW
Seattle, WA 98107-4068
Phone
(206) 784-0700
Fax
(206) 706-8822
NPI assigned
Sep 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60110615 WA Primary

Addresses

Primary practice location

5406 Leary Ave NW
Seattle, WA 98107-4068

Mailing address

5406 Leary Ave NW
Seattle, WA 98107-4068
Phone (206) 784-0700

Other identifiers 2

IdentifierTypeStateIssuer
1024566MedicaidWA
2014245MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091119000247 WA Practitioner - Optometry 7214075886 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5406 Leary Ave NW
Seattle, WA 98107-4068
Phone (206) 784-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60110615WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Plus of Ballard PS Optometrist CurrentSince Jul 17, 2013 Accepting new patients
Eyeco Optometry PS Optometrist CurrentSince Apr 21, 2012 Accepting new patients
Vision Plus in Lynden Optometrist CurrentSince Apr 21, 2012 Accepting new patients
Division Eyecare Optometrist CurrentSince Jan 16, 2013 Accepting new patients
Vision Plus Stanwood, PLLC Optometrist PastSince Apr 1, 2019 Accepting new patients

Locations

2520 James St
Bellingham, WA 98225
Phone (360) 393-4000

1824 Front St
Ste B
Lynden, WA 98264
Phone (360) 933-1815

31775 State Route 20
Ste B1
Oak Harbor, WA 98277
Phone (360) 544-5843

31775 State Route 20
Ste B
Oak Harbor, WA 98277
Phone (360) 544-5843

5406 Leary Ave NW
Seattle, WA 98107
Phone (206) 784-0700

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1124351796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 LEARY AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074068",
            "telephone_number": "206-784-0700",
            "fax_number": "206-706-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 LEARY AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074068",
            "telephone_number": "206-784-0700",
            "fax_number": "206-706-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLE",
        "first_name": "MARK",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60110615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024566",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014245",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.