Individual provider Active NPI

Savatei Susan Sea, O.D

  • Optometrist
  • Mercer Island, WA
National Provider Identifier
1922313345
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
60155816 Issued in WA
Practice address
2448 76TH Ave SE Ste 106
Mercer Island, WA 98040-2782
Phone
(206) 232-1633
Fax
(206) 232-2502
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 60155816 WA Primary

Addresses

Primary practice location

2448 76TH Ave SE Ste 106
Mercer Island, WA 98040-2782

Mailing address

2448 76TH Ave SE Ste 106
Mercer Island, WA 98040-2782
Phone (206) 940-0723

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
I20101217000391 WA Practitioner - Optometry 8224226261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2448 76TH Ave SE
Suite 106
Mercer Island, WA 98040-2782
Phone (206) 232-1633

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60155816WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Seattle Vision Care PLLC Optometrist CurrentSince Oct 11, 2010 Accepting new patients
Sea Family Eye Care, PLLC Optometrist CurrentSince Sep 4, 2019 Accepting new patients
Sea Family Vision Clinic, PLLC Optometrist CurrentSince Oct 17, 2021 Accepting new patients
Dr. Jaclyn Phan & Associates PastSince Oct 11, 2010 Accepting new patients

Locations

1912 201st Pl SE
Ste 204
Bothell, WA 98012
Phone (425) 485-6812

916 SW 152nd St
Burien, WA 98166
Phone (206) 242-3880

2448 76th Ave SE
Ste 106
Mercer Island, WA 98040
Phone (206) 232-1633

21005 44th Ave W
Ste 102
Mountlake Terrace, WA 98043
Phone (425) 775-7144

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1922313345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 76TH AVE SE STE 106",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402782",
            "telephone_number": "206-940-0723",
            "fax_number": "206-232-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 76TH AVE SE STE 106",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402782",
            "telephone_number": "206-232-1633",
            "fax_number": "206-232-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEA",
        "first_name": "SAVATEI",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60155816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.