Active NPI
Jared McKay Bleak, OD
- Optometrist
- Snohomish, WA
National Provider Identifier
1801729140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD.OD.70144018
- Practice address
- 21221 Wildwood Dr
Snohomish, WA 98296-8049 - Phone
- (919) 623-8354
- NPI assigned
- Jun 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD.OD.70144018 | WA | Primary |
Addresses
Primary practice location
21221 Wildwood Dr
Snohomish, WA 98296-8049
Mailing address
21221 Wildwood Dr
Snohomish, WA 98296-8049
Phone (919) 623-8354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD.OD.70144018 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1801729140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21221 WILDWOOD DR",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982968049",
"telephone_number": "919-623-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21221 WILDWOOD DR",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982968049",
"telephone_number": "919-623-8354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLEAK",
"first_name": "JARED",
"middle_name": "MCKAY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-05",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD.OD.70144018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.