Active NPI
Ann Elizabeth McLean, OD
- Optometrist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 61288070
- Practice address
- 5821 S Sprague CT
Tacoma, WA 98409-6903 - Phone
- (253) 396-4200
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 61288070 | WA | Primary |
Addresses
Primary practice location
5821 S Sprague CT
Tacoma, WA 98409-6903
Mailing address
16425 Perry St
Overland Park, KS 66085-7847
Phone (913) 593-3092
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
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
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1703 S Meridian
Suite 101
Puyallup, WA 98371-7590
Phone (253) 848-3000
18209 State Route 410 E
Suite 100
Bonney Lake, WA 98391-5146
Phone (253) 848-3000
205 10TH St NE
Suite 119
Auburn, WA 98002-4045
Phone (253) 939-7911
4907 Point Fosdick Dr NW
Suite E700
Gig Harbor, WA 98335-1842
Phone (253) 848-3000
5225 Cirque Dr W
University Place, WA 98467-3638
Phone (253) 564-3365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61288070 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Eye & Skin Centers P.C. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Cascade Eye & Skin Centers PC | Current | Accepting new patients |
Locations
205 10th St NE
Ste 119
Auburn, WA 98002
Phone (253) 939-7911
4907 Point Fosdick Dr
Ste E700
Gig Harbor, WA 98335
1703 S Meridian
Ste 101
Puyallup, WA 98371
Phone (253) 770-7708
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
5821 S Sprague Ct
Tacoma, WA 98409
Phone (253) 396-4200
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Puyallup, WA
- NPI 1033204938
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Ophthalmology Physician
- Auburn, WA
- NPI 1427293109
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1902535859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16425 PERRY ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "660857847",
"telephone_number": "913-593-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5821 S SPRAGUE CT",
"city": "TACOMA",
"state": "WA",
"postal_code": "984096903",
"telephone_number": "253-396-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "ANN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "61288070",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5821 S Sprague Ct",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984096903",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.