Active NPI
Joseph Trachtman, O.D.
- Optometrist
- Seattle, WA
National Provider Identifier
1912039389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4058
- Practice address
- 108 5TH Ave S
Suite C1
Seattle, WA 98104-3709 - Phone
- (206) 412-5985
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- 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 | 4058 | WA | Primary |
Addresses
Primary practice location
108 5TH Ave S
Suite C1
Seattle, WA 98104-3709
Mailing address
1020 NE 63Rd St
#101
Seattle, WA 98115-6668
Phone (206) 412-5985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4058 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1912039389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 NE 63RD ST",
"address_2": "#101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156668",
"telephone_number": "206-412-5985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 5TH AVE S",
"address_2": "SUITE C1",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043709",
"telephone_number": "206-412-5985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACHTMAN",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "4058",
"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 Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.