Dr. Leslie E Craddock
Optometrist

Address: 603 Nw 65th St, Seattle, WA 98117-5031
Phone: 2065882814

Dr. Leslie E Craddock (NPI# 1922185123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1922185123
Entity Type Individual
Full Name Dr. Leslie E Craddock
Credential O.D.
Gender Female
Practice Address 603 Nw 65th St
Seattle
WA 98117-5031
Practice Telephone 2065882814
Practice Fax Number 2064329751
Mailing Address 603 Nw 65th St
Seattle
WA 98117-5031
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-11-01
Last Update Date 2014-12-18

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 152W00000X Optometrist Eye and Vision Services Providers 3081 WA

Other Provider Identifier

State Identifier Issuer Type Code
WA G8897960 OTHER PTAN
WA G8897961 OTHER MEDICARE/ ORGANIZATIONAL PTAN

Physician Overview

NPI 1922185123
PAC ID by PECOS 8325090079
Professional Enrollment ID I20050211000187
Full Name Leslie Ellen Craddock
Organization Legal Name CRADDOCK OPTOMETRY, PS
Phone Number 2065882814
Gender F
Credential OD
Medical School OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 1993
Primary Specialty OPTOMETRY
Group Practice PAC ID 6608056833
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Office Location

Street Address 603 NW 65TH ST
City SEATTLE
State WA
Zip Code 98117-5031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285049767 Lauren Anne Hansen Optometrist 603 Nw 65th St, Seattle, WA 98117-5031 2014-06-24
1255634481 Craddock Optometry, Ps Optometrist 603 Nw 65th St, Seattle, WA 98117-5031 2010-12-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114422045 Solar Acupuncture LLC Acupuncturist 9015 Holman Rd Nw Suite 1 Room 12, Seattle, WA 98117 2018-03-23
1033610621 Yijun Liang Acupuncturist 9015 Holman Rd Nw Suite 1,room 12, Seattle, WA 98117 2018-02-28
1558812578 Sarah J Harwood Counselor 8322 11th Ave Nw, Seattle, WA 98117 2016-10-14
1083085617 Hannah Gordon Naturopath 2038 Nw Market Street Zoomcare Ballard, Seattle, WA 98117 2015-10-08
1629322698 Aimee Therese Denver Registered Nurse 3023 Nw 72nd Street, Seattle, WA 98117 2012-10-30
1649523101 Drx Wa Urgent Care Providers, Pllc Emergency Medicine 9000 Holman Road Nw, Suite A1, Seattle, WA 98117 2012-10-22
1922350248 Bodhi Tree LLC Chiropractor 2808-ii E Madison Street, Suite 203, Seattle, WA 98117 2012-10-10
1780934125 Immediate Clinic Seattle, Inc Clinic/Center 9000 Holman Rd Nw, Ste A-1, Seattle, WA 98117 2012-09-13
1972808491 Colette Cristine Spencer Registered Nurse 9776 Holman Road Nw, Suite 102, Seattle, WA 98117 2011-01-13
1881916674 Laura Bratton Sterling Acupuncturist 8010 15th Ave Nw, Suite D, Seattle, WA 98117 2010-02-19
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902363195 Ana Maria Zeek Optometrist 4017 29th Ave W, Seattle, WA 98199-1756 2019-02-25
1275015604 Eyewear Gallery LLC Optometrist 3121 E. Madison St Ste 102, Seattle, WA 98112 2018-09-01
1376083741 International Community Health Services Optometrist 718 8th Ave S, Seattle, WA 98104-3006 2017-03-03
1962947978 Jemimah Miranda Corpuz Optometrist 3324 Rainier Ave S, Seattle, WA 98144-6034 2016-12-29
1396292058 Urban Optix LLC Optometrist 400 Fairview Ave N Ste 115, Seattle, WA 98109-5370 2016-09-09
1518412063 Eyeballz Ltd. Optometrist 166 Roy St, Seattle, WA 98109-4128 2016-08-24
1205297835 Vinayak Varun Ravuri Optometrist 2718 Franklin Ave E Apt 11, Seattle, WA 98102-3102 2016-03-09
1902288202 Noelle Sun Optometrist 4626 Martin Luther King Jr Way S, Seattle, WA 98108-2135 2015-06-23
1396142873 Evie Lawson, Od, Ps Optometrist 7225 27th Ave Ne, Seattle, WA 98115-5821 2014-11-26
1104220458 Dr. Benjamin D. Crowell & Associates, Pllc Optometrist 523 Pine St, Suite 200, Seattle, WA 98101-1702 2014-10-15
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Competitor

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City SEATTLE
Zip Code 98117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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