Active NPI
Holly Jean Lebar, O.D.
- Optometrist
- Seattle, WA
National Provider Identifier
1891993523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD4143
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OD4143 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Seattle Vision Clinic PLLC | Optometrist | Current | Accepting new patients |
| Craddock Optometry, PS | Optometrist | Current | 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.
-
- Optometrist
- Seattle, WA
- NPI 1255634481
-
- Optometrist
- Seattle, WA
- NPI 1295190023
-
- Optometrist
- Seattle, WA
- NPI 1205198496
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.