Individual provider Active NPI

Natalya Sheppard, O.D.

  • Optometrist
  • Redmond, WA
National Provider Identifier
1134534233
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60714399 Issued in WA
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

Updated by the provider on May 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230526002525 NC Practitioner - Optometry 8426367210 Reassigns benefits to 5 organizations

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

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2920CTMDMarriage & Family Therapist
2684NCMDChiropractor
60714399WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Optometry PLLC Optometrist Current Accepting new patients
Thurmond Eye Associates OD, PA CurrentSince Jun 13, 2023 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince May 31, 2023 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
NC Doctors of Optometry PLLC Optometrist CurrentSince Apr 5, 2025 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince May 31, 2023 Accepting new patients
Camel City Optometric, P.a. Optometrist CurrentSince May 15, 2023 Accepting new patients
NC Doctors of Optometry PLLC Optometrist CurrentSince Apr 5, 2025 Accepting new patients
Wake Forest Optometry PA Optometrist CurrentSince May 3, 2025 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.

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

Verify at the official NPI Registry.