Individual provider Active NPI

Melissa Sun Cho, OD

  • Optometrist
  • Seattle, WA
National Provider Identifier
1285865626
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60102748 Issued in WA
Practice address
621 5TH Ave N Ste B
Seattle, WA 98109-4241
Phone
(206) 217-2015
Fax
(206) 217-2060
NPI assigned
Aug 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 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 OD60102748 WA Primary

Addresses

Primary practice location

621 5TH Ave N Ste B
Seattle, WA 98109-4241

Mailing address

621 5TH Ave N Ste B
Seattle, WA 98109-4241
Phone (206) 217-2015

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
I20090908000478 WA Practitioner - Optometry 0244385680 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Washington Eye Clinic PLLC CurrentSince Aug 16, 2021 Accepting new patients
Central Washington Eye Clinic PLLC CurrentSince Aug 16, 2021 Accepting new patients
Eyeballz LTD. Optometrist CurrentSince Jan 19, 2025 Accepting new patients

Locations

10047 Main St
Ste 101
Bellevue, WA 98004
Phone (425) 698-1891

425 SW 41st St
Renton, WA 98057
Phone (425) 226-1190

621 5th Ave N
Ste B
Seattle, WA 98109
Phone (206) 217-2015

3902 Creekside Loop
Ste 110
Yakima, WA 98902
Phone (509) 215-5946

Organizations & group practices 3

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": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1285865626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 5TH AVE N STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094241",
            "telephone_number": "206-217-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 5TH AVE N STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094241",
            "telephone_number": "206-217-2015",
            "fax_number": "206-217-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "MELISSA",
        "middle_name": "SUN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60102748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.