Individual provider Active NPI

Sheri Steele, O.D.

  • Optometrist
  • Bainbridge Island, WA
National Provider Identifier
1457347098
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3524 Issued in WA
Practice address
345 Knechtel Way NE
Ste104
Bainbridge Island, WA 98110-2860
Phone
(206) 842-6604
NPI assigned
Sep 20, 2005
Last updated
Aug 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3524 WA Primary

Addresses

Primary practice location

345 Knechtel Way NE
Ste104
Bainbridge Island, WA 98110-2860

Mailing address

345 Knechtel Way NE
Ste104
Bainbridge Island, WA 98110-2860
Phone (206) 842-6604

Other identifiers 2

IdentifierTypeStateIssuer
2023281MedicaidWA
AB12503OtherWAMEDICARE LEGACY

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
I20040526000326 WA Practitioner - Optometry 0648251603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Practice addresses (Care Compare)

345 Knechtel Way NE
Suite 104
Bainbridge Island, WA 98110-2834
Phone (206) 842-6604

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3524WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Washington Professional PC Optometrist CurrentSince Jan 24, 2023 Accepting new patients
Bainbridge Vision Inc PS Optometrist CurrentSince Nov 19, 1999 Accepting new patients
20/20 Eyecare Centers Inc PS Optometrist Past Accepting new patients
Port Orchard Eyecare Centers Inc, PS Optometrist Past Accepting new patients

Locations

345 Knechtel Way NE
Ste 104
Bainbridge Island, WA 98110
Phone (206) 842-6604

12310 NE 8th St
Ste 101
Bellevue, WA 98005
Phone (425) 455-0001

25989 Barber Cut Off Rd NE
Kingston, WA 98346
Phone (360) 297-2844

1098 Alder Ave
Marysville, WA 98270
Phone (360) 659-6255

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1457347098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 KNECHTEL WAY NE",
            "address_2": "STE104",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102860",
            "telephone_number": "206-842-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KNECHTEL WAY NE",
            "address_2": "STE104",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102860",
            "telephone_number": "206-842-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "SHERI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023281",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "AB12503",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

Verify at the official NPI Registry.