Individual provider Active NPI

Julia Loeppky, OD

  • Optometrist
  • Seattle, WA
National Provider Identifier
1700503414
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61454291 Issued in WA
Practice address
6239 Woodlawn Ave N
Seattle, WA 98103-5716
Phone
(206) 588-2814
NPI assigned
Oct 24, 2022
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD61454291 WA Primary

Addresses

Primary practice location

6239 Woodlawn Ave N
Seattle, WA 98103-5716

Mailing address

6239 Woodlawn Ave N
Seattle, WA 98103-5716

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
I20230911000070 WA Practitioner - Optometry 6406210434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2023
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

Practice roles

OrganizationSpecialtyStatusNew patients
Craddock Optometry, PS Optometrist CurrentSince Dec 31, 2025 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1700503414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6239 WOODLAWN AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6239 WOODLAWN AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035716",
            "telephone_number": "206-588-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEPPKY",
        "first_name": "JULIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61454291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.