Leslie E. Craddock, OD, PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

3081 Issued in WA

Legal business name

LESLIE E. CRADDOCK, OD, PS

Doing business as

Eyes on the City

Practice address

602 228TH Ave NE
Sammamish, WA 98074-7241

Phone

(425) 836-5352

Fax

(425) 898-9880

NPI assigned

Dec 8, 2010

Last updated

Apr 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Ellen Craddock, O.D.

Title

President

Phone

(425) 836-5352

Specialties & licenses 1

Addresses

Other names 1

• Eyes on the City Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1649573908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 228TH AVE NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747241",
            "telephone_number": "425-836-5352",
            "fax_number": "425-898-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 228TH AVE NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980747241",
            "telephone_number": "425-836-5352",
            "fax_number": "425-898-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE E. CRADDOCK, OD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "CRADDOCK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-836-5352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes on the City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Marie Ledgerwood, TECH
• Lee Chim PLLC.
• Jessica Nadine Lee, O.D.
• Ming Sing Lee, M.D.
• Nicole Lemos
• Leslie M. Falch, OD, PS (Eyes on the City)
• Samantha Leznek
• Jiaxin Li, LMHCA
• Natallia Liashchenia
• Carlyn M Liebert, ARNP

• Optometrist in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.