Active NPI
Natalya Sheppard, O.D.
- Optometrist
- Redmond, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 60714399
- Practice address
- 2040 148TH Ave NE
Redmond, WA 98052-5527 - Phone
- (720) 839-3999
- NPI assigned
- Jun 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 008168 | NY | |
| Optometrist | 152W00000X | 2684 | NC | |
| Optometrist | 152W00000X | 60714399 | WA | Primary |
Addresses
Primary practice location
2040 148TH Ave NE
Redmond, WA 98052-5527
Mailing address
19306 113TH PL SE
Kent, WA 98031-0202
Phone (720) 839-3999
Other names 1
- Dr. Natalya Archuleta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11724 Retail Dr
Wake Forest, NC 27587-7349
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2920 | CT | MD | Marriage & Family Therapist |
| 2684 | NC | MD | Chiropractor |
| 60714399 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheppard Optometry PLLC | Optometrist | Current | Accepting new patients |
| Thurmond Eye Associates OD, PA | Current | Accepting new patients | |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| NC Doctors of Optometry PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Camel City Optometric, P.a. | Optometrist | Current | Accepting new patients |
| NC Doctors of Optometry PLLC | Optometrist | Current | Accepting new patients |
| Wake Forest Optometry PA | Optometrist | Current | Accepting new patients |
Locations
310 S Church St
Burlington, NC 27215
Phone (336) 222-1720
1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332
3700 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 852-6664
2490 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 752-4844
215 Lauchwood Dr
#A
Laurinburg, NC 28352
Phone (910) 276-1993
11724 Retail Dr
Wake Forest, NC 27587
Phone (919) 562-5559
604 N Trade St
#B
Winston Salem, NC 27101
Phone (336) 727-3727
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 9
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.
-
- Optometrist
- Winston Salem, NC
- NPI 1962928556
-
- Optometrist
- Charlotte, NC
- NPI 1023183563
-
- Optometrist
- Greensboro, NC
- NPI 1366047037
-
- Primary Care Clinic/Center
- Burlington, NC
- NPI 1962521690
-
- Optometrist
- Wake Forest, NC
- NPI 1518139369
-
- Optometrist
- Raleigh, NC
- NPI 1700728326
-
- Optometrist
- Monroe, NC
- NPI 1407737182
-
- Optometrist
- Laurinburg, NC
- NPI 1942699095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1134534233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19306 113TH PL SE",
"city": "KENT",
"state": "WA",
"postal_code": "980310202",
"telephone_number": "720-839-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 148TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525527",
"telephone_number": "720-839-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "NATALYA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "008168",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "2684",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "60714399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATALYA",
"last_name": "ARCHULETA",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.