Individual provider Active NPI

Shrishyla Yelgar, OD

  • Optometrist
  • Kent, WA
National Provider Identifier
1801355995
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61426806 Issued in WA
Practice address
19400 108TH Ave SE Ste 202
Kent, WA 98031-0108
Phone
(253) 852-2120
Fax
(253) 373-0201
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 00882 NY
Optometrist 152W00000X 61426806 WA Primary

Addresses

Primary practice location

19400 108TH Ave SE Ste 202
Kent, WA 98031-0108

Mailing address

19400 108TH Ave SE Ste 202
Kent, WA 98031-0108
Phone (253) 852-2120

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
I20240221003548 WA Practitioner - Optometry 0143552562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Sight Northwest PSGroup PAC ID 5193982536, 2 clinicians

Practice addresses (Care Compare)

19400 108TH Ave SE
Suite 202
Kent, WA 98031-0108
Phone (253) 852-2120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00882NYMDOptometrist
61426806WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Sight Northwest, PS Optometrist CurrentSince Jan 8, 2024 Accepting new patients

Locations

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1801355995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19400 108TH AVE SE STE 202",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980310108",
            "telephone_number": "253-852-2120",
            "fax_number": "253-373-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19400 108TH AVE SE STE 202",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980310108",
            "telephone_number": "253-852-2120",
            "fax_number": "253-373-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELGAR",
        "first_name": "SHRISHYLA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "00882",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61426806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.