Individual provider Active NPI

Bethany Li, OD

  • Optometrist
  • Renton, WA
National Provider Identifier
1629820048
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61550315 Issued in WA
Practice address
1412 SW 43Rd St Ste 310
Renton, WA 98057-4803
Phone
(425) 235-1200
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 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 61550315 WA Primary

Addresses

Primary practice location

1412 SW 43Rd St Ste 310
Renton, WA 98057-4803

Mailing address

14614 97TH Ave NE
Bothell, WA 98011-7270
Phone (206) 446-2817

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
I20240722002804 WA Practitioner - Optometry 4082150487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
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
61550315WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Partners Physicians PC CurrentSince Jul 1, 2024 Accepting new patients
Sight Partners Physicians, P.C. Optometrist Current Accepting new patients
Sight Partners Physicians, P.C. Optometrist Current Accepting new patients
Sight Partners Physicians, P.C. Optometrist CurrentSince Jul 1, 2024 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

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

Interoperability endpoints

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

Organizations & group practices 8

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": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1629820048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14614 97TH AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980117270",
            "telephone_number": "206-446-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST STE 310",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574803",
            "telephone_number": "425-235-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "BETHANY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61550315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.