Individual provider Active NPI

Ann Elizabeth McLean, OD

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1902535859
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61288070 Issued in WA
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

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220720002570 WA Practitioner - Optometry 6305227463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Eye and Skin Centers PCGroup PAC ID 4486541554, 47 clinicians

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

LicenseStateTypeSpecialty
61288070WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Eye & Skin Centers P.C. CurrentSince Jun 20, 2025 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jul 1, 2022 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jul 1, 2022 Accepting new patients
Cascade Eye & Skin Centers PC CurrentSince Jun 20, 2025 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.

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

Verify at the official NPI Registry.