Sydney Kapp, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4450ATI Issued in OR

Practice address

15259 SE 82ND Dr Ste 101
Clackamas, OR 97015-6609

Phone

(503) 657-0321

NPI assigned

Nov 21, 2019

Last updated

Nov 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Eyecare Group IncGroup PAC ID 8325122823, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specialty Eyecare Group Inc

  dba Totem Lake Vision Center

  • Optometrist
  • Kirkland, WA
  • NPI 1235317637
  Medicare reassignment Care Compare group NPD
• Northwest Eye Care LLC

  dba Northwest Eye Care Professionals

  • Optometrist
  • Clackamas, OR
  • NPI 1669856902
  NPD
• Richard S. Kenny, O.D., P.S.

  dba Binyon Family Eye Care

  • Optometrist
  • Bellevue, WA
  • NPI 1588983407
  NPD
• Bruce R Wojciechowski

  dba Northwest Eye Care Professionals

  • Optometrist
  • Clackamas, OR
  • NPI 1699976530
  NPD (past)
• Northwest Vision Consultants

  • Vision Therapy Optometrist
  • Kirkland, WA
  • NPI 1437691425
  NPD (past)

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1487290763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 SE HAROLD ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065234",
            "telephone_number": "214-680-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15259 SE 82ND DR STE 101",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156609",
            "telephone_number": "503-657-0321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 SE 164th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986839612",
            "country_code": "US",
            "telephone_number": "360-546-2046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPP",
        "first_name": "SYDNEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60970333",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4450ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kanat
• Joseph Alan Kane, M.D.
• John J Kang, M.D.
• Kenneth Myungdei Kang, M.D.
• Sophia Kang, PHARM D.
• Aziz John Karam, DMD
• Andrea Ingrid Karl, M.D.
• Beth Lynne Karolle, MD
• Shannon Lee Karsten, MA MFT
• Alec Jeffrey Karty, D.O.

• Optometrist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.