Active NPI
Todd Alan Cranmore, BCO
- Ocularist
- Kirkland, WA
National Provider Identifier
1215979836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- License
- OS00000017
- Practice address
- 12911 120TH Ave NE
Suite C10
Kirkland, WA 98034-3027 - Phone
- (425) 823-1861
- Fax
- (425) 823-1522
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | OS00000017 | WA | Primary |
Addresses
Primary practice location
12911 120TH Ave NE
Suite C10
Kirkland, WA 98034-3027
Mailing address
12911 120TH Ave NE
Suite C10
Kirkland, WA 98034-3027
Phone (425) 823-1861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9045758 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS00000017 | WA | MD | Ocularist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Eye Design LLC | Ocularist | Current | Accepting new patients |
Locations
12911 120th Ave NE
Ste C10
Kirkland, WA 98034
Phone (425) 823-1861
Organizations & group practices 1
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": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215979836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE",
"address_2": "SUITE C10",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343027",
"telephone_number": "425-823-1861",
"fax_number": "425-823-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE",
"address_2": "SUITE C10",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343027",
"telephone_number": "425-823-1861",
"fax_number": "425-823-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANMORE",
"first_name": "TODD",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "BCO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": "WA",
"license": "OS00000017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9045758",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.