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Active NPI 1255634481 Organization (Entity Type 2)

Craddock Optometry, Ps

Optometrist • Seattle, WA

About Craddock Optometry, Ps NPI 1255634481 Summary

Craddock Optometry, Ps is a verified healthcare organization specializing in Optometrist operating in Seattle, WA. Located at 6239 WOODLAWN AVE N, this facility provides patient care and medical services under National Provider Identifier (NPI) 1255634481.

Administrative operations and authorized compliance are overseen by Leslie Craddock (President).

The facility is associated with 7 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

6239 Woodlawn Ave N

Seattle, WA 981035716

Telephone 2065882814
Fax 2064329751

Authorized Official Information

Authorized Contact Name

DR. Leslie Craddock , O.D.

Title / Role

President

Official Telephone

2065882814

Facility Classifications & Specialties

Optometrist Primary Taxonomy

NUCC Taxonomy Code: 152W00000X

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

7 Linked

Behavior Analyst

Seattle, WA

View Practitioner Profile →

Behavior Analyst

Seattle, WA

View Practitioner Profile →
Dr. Tracy Lin , OD NPI 1699138198

Optometrist

Seattle, WA

View Practitioner Profile →

Optometrist

Seattle, WA

View Practitioner Profile →

Behavior Analyst

Seattle, WA

View Practitioner Profile →
Dr. Holly Lebar , OD NPI 1891993523

Optometrist

Seattle, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events
📍
Updated Practice Location July 21, 2021

Registered at 6239 WOODLAWN AVE N, SEATTLE, WA 981035716 (Tel: 2065882814)

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Updated Business Mailing Address July 21, 2021

Registered at 6239 WOODLAWN AVE N, SEATTLE, WA 981035716 (Tel: 2065882814)

NPI Profile Active December 09, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2010

Registered at 603 NW 65TH ST, SEATTLE, WA 981175031 (Tel: 2065882814)

📍
Updated Business Mailing Address December 09, 2010

Registered at 603 NW 65TH ST, SEATTLE, WA 981175031 (Tel: 2065882814)

🏛️
Organization / Clinic Name Updated December 09, 2010

Operating as CRADDOCK OPTOMETRY, PS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2010

Optometrist (License #3081 in WA)

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Initial NPI Registration & Enumeration December 09, 2010

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1255634481
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 09, 2010
Last Update: July 21, 2021

Mailing Address

6239 Woodlawn Ave N

Seattle, WA 981035716

Phone: 2065882814

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.