Individual provider Active NPI

Tracy Lin, OD

  • Optometrist
  • Seattle, WA
National Provider Identifier
1699138198
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60753855 Issued in WA
Practice address
603 NW 65TH St
Seattle, WA 98117
Phone
(206) 588-2814
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60753855 WA Primary

Addresses

Primary practice location

603 NW 65TH St
Seattle, WA 98117

Mailing address

603 NW 65TH St
Seattle, WA 98117-5031

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
I20171205003083 WA Practitioner - Optometry 7911264601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craddock Optometry, PSGroup PAC ID 6608056833, 4 clinicians

Practice addresses (Care Compare)

6239 Woodlawn Ave N
Seattle, WA 98103-5716
Phone (206) 588-2814

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60753855WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Craddock Optometry, PS Optometrist CurrentSince Dec 31, 2025 Accepting new patients
Specialty Eyecare Group Inc Optometrist CurrentSince Nov 1, 2017 Accepting new patients
Northwest Vision Consultants PastSince Nov 1, 2017 Accepting new patients

Locations

11830 NE 128th St
Ste 1
Kirkland, WA 98034
Phone (425) 814-8900

603 NW 65th St
Seattle, WA 98117
Phone (206) 588-2814

6239 Woodlawn Ave N
Seattle, WA 98103
Phone (206) 588-2814

Interoperability endpoints

  • Direct secure messaging: tlin@eyesonthecity.eyeclinicdirect.net

Organizations & group practices 3

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": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1699138198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 NW 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NW 65TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98117",
            "telephone_number": "206-588-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "TRACY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60753855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.