Kelsey Yared, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61099318 Issued in WA

Practice address

400 Urban PLZ Ste 110
Kirkland, WA 98033-5368

Phone

(425) 403-2020

NPI assigned

Sep 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of California - School of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seattle Optometric Physicians PLLCGroup PAC ID 6901044049, 3 clinicians

North Seattle Vision Care PLLCGroup PAC ID 7315135357, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Seattle Vision Care PLLC

  • Optometrist
  • Bothell, WA
  • NPI 1982911335
  Medicare reassignment Care Compare group NPD
• Seattle Optometric Physicians PLLC

  • Optometrist
  • Seattle, WA
  • NPI 1336487560
  Medicare reassignment Care Compare group NPD
• Dr. Dana Kindberg and Associates

  • Optometrist
  • Kirkland, WA
  • NPI 1295151264
  Medicare reassignment NPD
• Dr. Jaclyn Phan & Associates

  • Clinic/Center
  • Bothell, WA
  • NPI 1437330123
  NPD (past)

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1174139596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 59TH AVE W",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 URBAN PLZ STE 110",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335368",
            "telephone_number": "425-403-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARED",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61099318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Zhibo Yang, M.D.
• Samuel J Yang, M.D.
• Yuxin Yang, LMP
• Caitlin Campos Yanos
• Jasmine Yap, RN
• Yarrow Bay Plastic Surgery Center
• Yarrow Bay Plastic Surgery, PLLC
• Alaa Yassin, DDS, MS, MSD
• Jacqueline Weilan Ye, PHARMD
• Ronald W Yeh, MD

• Optometrist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.