Individual provider Active NPI

Andy Lai, OD

  • Optometrist
  • Renton, WA
National Provider Identifier
1689234577
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60911230 Issued in WA
Practice address
225 Logan Ave S Ste 50
Renton, WA 98057-2079
Phone
(425) 226-3444
NPI assigned
Jun 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 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 60911230 WA Primary

Addresses

Primary practice location

225 Logan Ave S Ste 50
Renton, WA 98057-2079

Mailing address

225 Logan Ave S Ste 50
Renton, WA 98057-2079
Phone (425) 226-3444

Other names 1

  • Dr. Andy C Lai Professional 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
I20191011001251 WA Practitioner - Optometry 0042541690 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60911230WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Family Eye Care PLLC Optometrist CurrentSince Nov 10, 2025 Accepting new patients
Oceanclear Eyecare, Inc Optometrist CurrentSince Aug 16, 2019 Accepting new patients
Northwest Family Eye Center, PLLC Optometrist PastSince Nov 10, 2025 Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Locations

4605 NE 4th St
Ste C
Renton, WA 98059
Phone (425) 970-3230

225 Logan Ave S
Ste 50
Renton, WA 98057
Phone (425) 226-3444

Interoperability endpoints

  • Direct secure messaging: andy.lai@70976835354628.direct.elationemr.com

Organizations & group practices 4

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1689234577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 LOGAN AVE S STE 50",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572079",
            "telephone_number": "425-226-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 LOGAN AVE S STE 50",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572079",
            "telephone_number": "425-226-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "ANDY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60911230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDY",
            "last_name": "LAI",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.