Organization Active NPI

Ocean Optical Redmond PLLC

  • Optometrist
  • Redmond, WA
National Provider Identifier
1811546286
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OCEAN OPTICAL REDMOND PLLC
Practice address
16128 NE 87TH St
Redmond, WA 98052-3505
Phone
(425) 556-0202
Fax
(425) 307-0420
NPI assigned
Sep 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Dr. Nicole Shams, ODNPI 1942582440
Title
Optometrist
Phone
(425) 556-0202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16128 NE 87TH St
Redmond, WA 98052-3505

Mailing address

16128 NE 87TH St
Redmond, WA 98052-3505
Phone (425) 556-0202

Other identifiers 1

IdentifierTypeStateIssuer
1942582440OtherINDIVIDUAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL oceanopticalOD@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200407000741 WA Part B Supplier - Clinic/Group Practice 8820427230 Receives reassigned benefits from 1 practitioner
Practice locations: Redmond, WA

National Provider Directory

National Provider Directory

Locations

16128 NE 87th St
Redmond, WA 98052
Phone (425) 556-0202

16144 NE 87th St
Redmond, WA 98052
Phone (425) 556-0202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1811546286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16128 NE 87TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523505",
            "telephone_number": "425-556-0202",
            "fax_number": "425-307-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16128 NE 87TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523505",
            "telephone_number": "425-556-0202",
            "fax_number": "425-307-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN OPTICAL REDMOND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "SHAMS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "425-556-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1942582440",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "oceanopticalOD@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16144 NE 87th St",
            "city": "Redmond",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980523505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.