Patricia Y. Jitodai, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3211TX Issued in WA

Practice address

16870 Southcenter Pkwy
Tukwila, WA 98188-3309

Phone

(206) 508-4700

Fax

(206) 508-4712

NPI assigned

May 3, 2010

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

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.

• Blue Wave Eye Doctors Professional Limited Liability Company

  • Optometrist
  • Everett, WA
  • NPI 1053060475
  Medicare reassignment NPD
• Blue Wave Eye Doctors Professional Limited Liability Company

  • Eyewear Supplier
  • Olympia, WA
  • NPI 1902608755
  NPD
• Dhaliwal Optometry PLLC

  • Clinic/Center
  • Kent, WA
  • NPI 1033788328
  NPD (past)

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1295052116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16870 SOUTHCENTER PKWY",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883309",
            "telephone_number": "206-508-4700",
            "fax_number": "206-508-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16870 SOUTHCENTER PKWY",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883309",
            "telephone_number": "206-508-4700",
            "fax_number": "206-508-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JITODAI",
        "first_name": "PATRICIA",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3211TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Anne Jennings, DPT
• Michael H. Jennings Jr., MSPT
• Laura Jimenez, LMP, PTA
• Latisha Marie Jimerson-Hodge
• Priscilla Jin
• Marcus Edward John, M.ED, CRC, LPC, LMHC
• Tara Johns
• Angelina Johnson
• Carol Ann Johnson, PTA
• Cornel Johnson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.