Individual provider Active NPI

Milda Bandza

  • Optometrist
  • Seattle, WA
National Provider Identifier
1194132357
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60476967 Issued in WA
Practice address
6417 Roosevelt Way NE Ste 103
Seattle, WA 98115-6657
Phone
(206) 526-2020
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60476967 WA Primary

Addresses

Primary practice location

6417 Roosevelt Way NE Ste 103
Seattle, WA 98115-6657

Mailing address

10015 1St Ave S
Seattle, WA 98168-1301
Phone (440) 728-7882

Other identifiers 1

IdentifierTypeStateIssuer
OD60476967OtherWASTATE LICENSE

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
I20141119001375 WA Practitioner - Optometry 2668694019 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rainier Valley Optometric IncGroup PAC ID 1557335650, 3 clinicians

Practice addresses (Care Compare)

7101 Martin Luther King Jr Way S
Suite 209
Seattle, WA 98118-3593
Phone (206) 722-2218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60476967WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Current Accepting new patients
Seattle Children'S Hospital Current Accepting new patients
Puget Sound Eye Care Optometrist CurrentSince Mar 18, 2017 Accepting new patients
Seattle Childrens Hospital CurrentSince Apr 28, 2021 Accepting new patients
Apple Valley Optometry PC Optometrist CurrentSince Aug 1, 2020 Accepting new patients
Sea Mar Community Health Centers Optometrist CurrentSince May 7, 2019 Accepting new patients
Sea Mar Community Health Centers CurrentSince May 7, 2019 Accepting new patients
Rainier Valley Optometric, Inc Optometrist CurrentSince Jun 7, 2024 Accepting new patients
Spex in the City, LLC CurrentSince Nov 9, 2025 Accepting new patients
Seattle Children'S Hospital CurrentSince Apr 28, 2021 Accepting new patients
New Eyedentity, LLC Optometrist PastSince Nov 9, 2025 Accepting new patients

Locations

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

9650 15th Ave SW
Seattle, WA 98106
Phone (206) 965-1000

2501 N 45th St
Seattle, WA 98103
Phone (206) 526-5060

7101 Martin Luther King Jr Way S
Ste 209
Seattle, WA 98118
Phone (206) 722-2218

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

6417 Roosevelt Way NE
Ste 103
Seattle, WA 98115
Phone (206) 526-2020

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

1121 S 40th Ave
Yakima, WA 98908
Phone (509) 966-8800

Interoperability endpoints

  • Direct secure messaging: mbandza450218@direct.multicare.org

Organizations & group practices 11

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": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1194132357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 1ST AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981681301",
            "telephone_number": "440-728-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 ROOSEVELT WAY NE STE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156657",
            "telephone_number": "206-526-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDZA",
        "first_name": "MILDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60476967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OD60476967",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.