Active NPI
Aditi Kakade, OD
- Optometrist
- Renton, WA
National Provider Identifier
1821345125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002709
- Practice address
- 1135 Lake Washington Blvd N
Unit G401
Renton, WA 98056-4815 - Phone
- (404) 277-6221
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | OPT002709 | GA | Primary |
Addresses
Primary practice location
1135 Lake Washington Blvd N
Unit G401
Renton, WA 98056-4815
Mailing address
PO Box 1054
Renton, WA 98057-1054
Phone (404) 277-6221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01244061 | Other | IL | RAILROAD MEDICARE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151023002447 | WA | Practitioner - Optometry | 2668611401 | Practice locations: Renton, WA; Seattle, WA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT002709 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1821345125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1054",
"city": "RENTON",
"state": "WA",
"postal_code": "980571054",
"telephone_number": "404-277-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 LAKE WASHINGTON BLVD N",
"address_2": "UNIT G401",
"city": "RENTON",
"state": "WA",
"postal_code": "980564815",
"telephone_number": "404-277-6221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKADE",
"first_name": "ADITI",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01244061",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
- Kaiser Foundation Health Plan of Washington (Kaiser Permanente Renton Pharmacy)
- Kaiser Foundation Health Plan of Washington (Kaiser Permanente WA Mail Order Pharmacy)
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington
- Kalyan Dandala, MD PLLC (DanMed)
- Lucy Kamau
- Sharyl K.N. Kamihara, PT
- Michael J. Kaminski, MD
- Ekaterina A Kanevski, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.