Individual provider Active NPI

Tahlie Graber, OD

  • Optometrist
  • Lacey, WA
National Provider Identifier
1548837156
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61180218 Issued in WA
Practice address
1350 Galaxy Dr NE
Lacey, WA 98516-4757
Phone
(360) 918-0449
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 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 OD61180218 WA Primary

Addresses

Primary practice location

1350 Galaxy Dr NE
Lacey, WA 98516-4757

Mailing address

1350 Galaxy Dr NE Ste D
Lacey, WA 98516-4757

Other names 1

  • Tahlie Cablayan Former name

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
I20250116001368 WA Practitioner - Optometry 3779011887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael H Chow & Associates PLLC Optometrist CurrentSince Nov 6, 2024 Accepting new patients

Locations

7084 Lakeland Hills Way SE
Ste 101
Auburn, WA 98092
Phone (253) 351-0092

Organizations & group practices 1

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1548837156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 GALAXY DR NE STE D",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 GALAXY DR NE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985164757",
            "telephone_number": "360-918-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "TAHLIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61180218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAHLIE",
            "last_name": "CABLAYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.