Individual provider Active NPI

Susan Ziad, OD

  • Optometrist
  • Seattle, WA
National Provider Identifier
1538058334
Registry record updated Dec 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD.OD.70008624 Issued in WA
Practice address
340 NE Northgate Way
Seattle, WA 98125-6047
Phone
(206) 210-5963
NPI assigned
Jun 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 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 OD.OD.70008624 WA Primary

Addresses

Primary practice location

340 NE Northgate Way
Seattle, WA 98125-6047

Mailing address

340 NE Northgate Way
Seattle, WA 98125-6047
Phone (206) 210-5963

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
I20250811001305 WA Practitioner - Optometry 9133627037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD.OD.70008624WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Wave Eye Doctors Professional Limited Liability Company Optometrist CurrentSince Jul 24, 2025 Accepting new patients
Blue Wave Eye Doctors Professional Limited Liability Company CurrentSince Jul 24, 2025 Accepting new patients

Locations

305 SE Everett Mall Way
Ste 21
Everett, WA 98208
Phone (425) 267-0575

921 N 10th St
Ste B
Renton, WA 98057
Phone (425) 255-1022

340 NE Northgate Way
Seattle, WA 98125
Phone (206) 210-5963

Organizations & group practices 2

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": "1751068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1538058334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 NE NORTHGATE WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256047",
            "telephone_number": "206-210-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 NE NORTHGATE WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256047",
            "telephone_number": "206-210-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIAD",
        "first_name": "SUSAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD.OD.70008624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.