DR. STEFANIE CLENDANIEL OD
NPI 1194341891
Optometrist in Seattle, WA

Active since June 18, 2020PECOS EnrolledAccepts Medicare Assignment
9720 4TH AVE NE, SEATTLE, WA 98115(206) 527-7132 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2021, Jun 18, 2020 (2 updates tracked since 2020).

About Dr. Stefanie Clendaniel Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEFANIE CLENDANIEL OD (NPI 1194341891) is an individual optometrist in Seattle, Washington, licensed in Washington (OD61058381) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194341891
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. STEFANIE CLENDANIELCredential: OD
Location Address9720 4TH AVE NESeattle, WA 98115-2143
Mailing Address9720 4th Ave NeSeattle, WA 98115-2143 · (206) 302-1200
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 18, 2020
Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1194341891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WA · OD61058381
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.

9720 4TH AVE NE, Seattle, WA 98115

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Stefanie Clendaniel Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901220524
PECOS Enrollment IDI20200715002896
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
9720 4TH AVE NE
SEATTLE, WA 98115
Physical Therapist
9720 4TH AVE NE
SEATTLE, WA 98115
Occupational Therapist
9720 4TH AVE NE
SEATTLE, WA 98115
Nurse Practitioner (Psychiatric/Mental Health)
9720 4TH AVE NE
SEATTLE, WA 98115
Clinic/Center (Multi-Specialty)
9720 4TH AVE NE
SEATTLE, WA 98115
Psychiatry & Neurology (Psychiatry)
9720 4TH AVE NE
SEATTLE, WA 98115
Physical Therapist
9720 4TH AVE NE
SEATTLE, WA 98115
Physical Therapist
9720 4TH AVE NE
SEATTLE, WA 98115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stefanie Clendaniel's NPI number?

The NPI number for Stefanie Clendaniel is 1194341891. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Stefanie Clendaniel located?

Stefanie Clendaniel practices at 9720 4th Ave NE, Seattle, WA 98115. The listed phone number is (206) 527-7132.

What is Stefanie Clendaniel's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Stefanie Clendaniel enrolled in Medicare?

Yes. Stefanie Clendaniel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stefanie Clendaniel was last updated on March 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.