Individual provider Active NPI

Artika Naidu, O.D.

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1831574730
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60618573 Issued in WA
Practice address
4502 South Steele #700
Located Inside Macy'S Lenscrafters
Tacoma, WA 98409
Phone
(253) 474-1884
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60618573 WA Primary

Addresses

Primary practice location

4502 South Steele #700
Located Inside Macy'S Lenscrafters
Tacoma, WA 98409

Mailing address

PO Box 111854
Tacoma, WA 98411-1854
Phone (253) 474-1884

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
I20170131001415 WA Practitioner - Optometry 1850673609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgeport Family Vision Clinic PLLCGroup PAC ID 6901113596, 3 clinicians

Practice addresses (Care Compare)

9101 Bridgeport Way SW
Suite C
Lakewood, WA 98499-2419
Phone (253) 584-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Family Vision Clinic, PLLC Optometrist CurrentSince Jan 4, 2021 Accepting new patients
Olympia Vision Clinic and Contact Lens Center, PLLC Optometrist PastSince Aug 1, 2001 Accepting new patients
Federal Way Vision Center Optometrist PastSince Jan 17, 2017 Accepting new patients
David Thomas Williams Optometrist PastSince Jan 4, 2021 Accepting new patients

Locations

9101 Bridgeport Way SW
Ste C
Tacoma, WA 98499
Phone (253) 584-2020

Organizations & group practices 5

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1831574730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111854",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984111854",
            "telephone_number": "253-474-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 SOUTH STEELE #700",
            "address_2": "LOCATED INSIDE MACY'S LENSCRAFTERS",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98409",
            "telephone_number": "253-474-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDU",
        "first_name": "ARTIKA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60618573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.