Individual provider Active NPI

James William Santoro, O.D.

  • Optometrist
  • Federal Way, WA
National Provider Identifier
1578799292
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3296 Issued in WA
Practice address
34719 6TH Ave S
Federal Way, WA 98003-8714
Phone
(206) 212-2100
Fax
(206) 212-2194
NPI assigned
Jun 9, 2009
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 672 MT
Optometrist 152W00000X 3296 WA Primary

Addresses

Primary practice location

34719 6TH Ave S
Federal Way, WA 98003-8714

Mailing address

PO Box 25020
Federal Way, WA 98093-2020
Phone (206) 212-2163

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
I20120813000470 WA Practitioner - Optometry 6406002104 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairhaven Vision Clinic PLLCGroup PAC ID 5890772560, 2 clinicians

Practice addresses (Care Compare)

1207 Old Fairhaven Pkwy
Bellingham, WA 98225-7411
Phone (360) 733-1190

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3296WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Cascade Eye Associates PS Optometrist CurrentSince Mar 1, 2018 Accepting new patients
Evergreen Eye Center, PLLC CurrentSince Jan 28, 2019 Accepting new patients
Optum Care Washington PLLC CurrentSince Jul 12, 2012 Accepting new patients
Evergreen Eye Center, PLLC Optometrist CurrentSince Dec 22, 2019 Accepting new patients
Fairhaven Vision Clinic PLLC Optometrist CurrentSince Feb 28, 2023 Accepting new patients
Evergreen Eye Center, PLLC Optometrist Current Accepting new patients
North Cascade Eye Associates PS CurrentSince Mar 1, 2018 Accepting new patients
Optum Care Washington PLLC CurrentSince Jul 12, 2012 Accepting new patients
Evergreen Eye Center, PLLC Optometrist CurrentSince Jan 28, 2019 Accepting new patients
Evergreen Eye Center, PLLC Past Accepting new patients

Locations

700 M St NE
Auburn, WA 98002
Phone (206) 212-2100

1207 Old Fairhaven Pkwy
Bellingham, WA 98225
Phone (360) 733-1190

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

1930 Market St
Mount Vernon, WA 98273
Phone (360) 424-2020

2100 Little Mountain Ln
Mount Vernon, WA 98274
Phone (360) 416-6735

2131 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 416-6735

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1578799292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25020",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980932020",
            "telephone_number": "206-212-2163",
            "fax_number": "206-212-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34719 6TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038714",
            "telephone_number": "206-212-2100",
            "fax_number": "206-212-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "672",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.