Individual provider Active NPI

Charanpreet Samra, OD

  • Optometrist
  • Redmond, WA
National Provider Identifier
1730827445
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61312777 Issued in WA
Practice address
7330 164TH Ave NE Ste E150
Redmond, WA 98052-7852
Phone
(425) 869-2337
Fax
(844) 333-0296
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 61312777 WA Primary

Addresses

Primary practice location

7330 164TH Ave NE Ste E150
Redmond, WA 98052-7852

Mailing address

PO Box 68412
Seatac, WA 98168-0412

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
I20221130001369 WA Practitioner - Optometry 6103294855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric Bergstrom OD, PLLCGroup PAC ID 0941190417, 11 clinicians

Practice addresses (Care Compare)

20 Boston St
Seattle, WA 98109-2319
Phone (206) 282-8120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61312777WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Bergstrom OD, PLLC Optometrist CurrentSince Nov 17, 2022 Accepting new patients
Clear Sight Northwest, PS Optometrist CurrentSince Jun 21, 2022 Accepting new patients
Ballard Eye Clinic PLLC Optometrist CurrentSince Nov 17, 2022 Accepting new patients

Locations

19400 108th Ave SE
Ste 202
Kent, WA 98031
Phone (253) 852-2120

6618 Roosevelt Way NE
Seattle, WA 98115
Phone (206) 282-8120

20 Boston St
Seattle, WA 98109
Phone (206) 282-8120

2201 NW Market St
Seattle, WA 98107
Phone (206) 282-8120

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1730827445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68412",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981680412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 164TH AVE NE STE E150",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527852",
            "telephone_number": "425-869-2337",
            "fax_number": "844-333-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMRA",
        "first_name": "CHARANPREET",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61312777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.