Individual provider Active NPI

Andrew S. DO, O.D

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1558847723
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61601217 Issued in WA
Practice address
1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone
(215) 276-6000
Fax
(215) 276-1329
NPI assigned
Jul 11, 2018
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003420 PA
Optometrist 152W00000X OD61601217 WA Primary

Addresses

Primary practice location

1200 W Godfrey Ave
Philadelphia, PA 19141-3323

Mailing address

1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone (215) 276-6000

Other practice location 1

3300 Henry Ave Ste 104
Philadelphia, PA 19129-1121
Phone (215) 276-1329

Other practice location 2

7630 Germantown Ave Ste 4
Philadelphia, PA 19118-3529
Phone (215) 276-6000

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
I20250422002261 WA Practitioner - Optometry 1254688104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Partners Physicians PCGroup PAC ID 6002728532, 59 clinicians

Practice addresses (Care Compare)

1412 SW 43Rd St
Suite 310
Renton, WA 98057-4803
Phone (425) 235-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34574CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Partners Physicians, P.C. Optometrist Current Accepting new patients
Sight Partners Physicians, P.C. Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Sight Partners Physicians, P.C. Optometrist Current Accepting new patients
Sight Partners Physicians PC CurrentSince Apr 1, 2025 Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients
Sight Partners Physicians, P.C. Optometrist Past Accepting new patients

Locations

16404 Smokey Point Blvd
Ste 303
Arlington, WA 98223
Phone (360) 658-6224

903 Medical Center Dr
Ste 100
Arlington, WA 98223
Phone (360) 435-8595

2075 Barkley Blvd
Ste 205
Bellingham, WA 98226
Phone (360) 676-6233

21906 76th Ave W
Edmonds, WA 98026
Phone (425) 577-4262

1306 Roosevelt Ave
Mount Vernon, WA 98273
Phone (360) 428-2020

1412 SW 43rd St
Ste 310
Renton, WA 98057
Phone (425) 235-1200

332 NE Northgate Way
Seattle, WA 98125

795 N 5th Ave
Sequim, WA 98382
Phone (360) 658-6224

9671 N Nevada St
Ste 210
Spokane, WA 99218
Phone (509) 468-2020

16010 E Indiana Ave
Spokane Valley, WA 99216
Phone (509) 928-8040

Interoperability endpoints

  • Direct secure messaging: ado@nwes.intellechartdirect.net

Organizations & group practices 9

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1558847723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W GODFREY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413323",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W GODFREY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413323",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Henry Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191291121",
            "country_code": "US",
            "telephone_number": "215-276-1329",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7630 Germantown Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191183529",
            "country_code": "US",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DO",
        "first_name": "ANDREW",
        "middle_name": "S.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003420",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61601217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.