Individual provider Active NPI

Holly Jean Lebar, O.D.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1891993523
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD4143 Issued in WA
Practice address
904 7TH Ave
Seattle, WA 98104-1132
Phone
(206) 323-3937
Fax
(206) 720-8463
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD4143 WA Primary

Addresses

Primary practice location

904 7TH Ave
Seattle, WA 98104-1132

Mailing address

904 7TH Ave
Seattle, WA 98104-1132
Phone (206) 323-3937

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
I20130926000803 WA Practitioner - Optometry 2961646245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craddock Optometry, PSGroup PAC ID 6608056833, 4 clinicians

Practice addresses (Care Compare)

6239 Woodlawn Ave N
Seattle, WA 98103-5716
Phone (206) 588-2814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD4143WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Seattle Vision Clinic PLLC Optometrist CurrentSince Jun 15, 2024 Accepting new patients
Craddock Optometry, PS Optometrist CurrentSince Dec 31, 2025 Accepting new patients
Blink Optical LLC Optometrist Past Accepting new patients

Locations

6505 California Ave SW
#101
Seattle, WA 98136
Phone (206) 829-9688

6239 Woodlawn Ave N
Seattle, WA 98103
Phone (206) 588-2814

Organizations & group practices 3

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1891993523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 7TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041132",
            "telephone_number": "206-323-3937",
            "fax_number": "206-720-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 7TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041132",
            "telephone_number": "206-323-3937",
            "fax_number": "206-720-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBAR",
        "first_name": "HOLLY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD4143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.