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DR. STACY MAYUMI TAKETA O.D.
NPI 1235265547
Optometrist in Seattle, WA

Active since February 23, 2007PECOS EnrolledAccepts Medicare Assignment
5101 25TH AVE NE STE 10, SEATTLE, WA 98105(206) 432-9051(206) 432-9264 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stacy Mayumi Taketa O.d. NPPES

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

DR. STACY MAYUMI TAKETA O.D. (NPI 1235265547) is an individual optometrist in Seattle, Washington, licensed in Washington (003611) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2000).

NPPES Registry Identity

NPI1235265547
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. STACY MAYUMI TAKETACredential: O.D.
Location Address5101 25TH AVE NE STE 10Seattle, WA 98105-3225
Mailing Address5101 25th Ave Ne Ste 10Seattle, WA 98105-3225 · (206) 432-9051 · Fax (206) 432-9264
Phone(206) 432-9051
Fax(206) 432-9264
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2000
Enumeration DateFebruary 23, 2007
Last NPPES UpdateOctober 14, 2011
✔ NPI 1235265547 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 · 003611
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.
5101 25TH AVE NE STE 10, Seattle, WA 98105
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Other Identifiers 1

Medicare PING8894181WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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. Stacy Mayumi Taketa O.d. 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 ID3173690534
PECOS Enrollment IDI20080926000249
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 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 2

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

PAMELA J. CHIN OD
Optometrist
5101 25TH AVE NE STE 10
SEATTLE, WA 98105
King County (206) 432-9051
CITY EYEWORKS LLC
Optometrist
5101 25TH AVE NE STE 10
SEATTLE, WA 98105
King County (206) 432-9051

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 Stacy Taketa's NPI number?

The NPI number for Stacy Taketa is 1235265547. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Stacy Taketa located?

Stacy Taketa practices at 5101 25th Ave NE Ste 10, Seattle, WA 98105. The listed phone number is (206) 432-9051.

What is Stacy Taketa's specialty?

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

Is Stacy Taketa enrolled in Medicare?

Yes. Stacy Taketa 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.

What insurance does Stacy Taketa accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Stacy Taketa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Taketa was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.