SHAUNA MAZZULLA O.D.
NPI 1396893608
Optometrist in Sammamish, WA

Q: What is Shauna Mazzulla's NPI number?

The NPI number for Shauna Mazzulla is 1396893608. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Q: What is Shauna Mazzulla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shauna Mazzulla was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment

602 228TH AVE NE, SAMMAMISH, WA 98074(425) 836-5352(425) 898-9880 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, Jul 24, 2023, Mar 1, 2017 (3 updates tracked since 2017).

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About Shauna Mazzulla O.d. NPPES

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

SHAUNA MAZZULLA O.D. (NPI 1396893608) is an individual optometrist in Sammamish, Washington, licensed in Washington (3661 TX) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2001).

NPPES Registry Identity

NPI1396893608

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameSHAUNA MAZZULLACredential: O.D.

Location Address602 228TH AVE NESammamish, WA 98074-7241

Mailing Address602 228th Ave NeSammamish, WA 98074-7241 · (425) 836-5352 · Fax (425) 898-9880

Phone(425) 836-5352

Fax(425) 898-9880

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2001

Enumeration DateJanuary 5, 2007

Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration

NPPES CertifiedMarch 7, 2024

✔ NPI 1396893608 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 · 3661 TX

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.

602 228TH AVE NE, Sammamish, WA 98074

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Shauna Mazzulla 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 ID7517993991

PECOS Enrollment IDI20171024001600

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 98074 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.

LESLIE E. CRADDOCK, OD, PS

Optometrist

602 228TH AVE NE
SAMMAMISH, WA 98074

King County (425) 836-5352

LESLIE M. FALCH, OD, PS

Optometrist

602 228TH AVE NE
SAMMAMISH, WA 98074

King County (425) 836-5352

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 Shauna Mazzulla's NPI number?

The NPI number for Shauna Mazzulla is 1396893608. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Shauna Mazzulla located?

Shauna Mazzulla practices at 602 228th Ave NE, Sammamish, WA 98074. The listed phone number is (425) 836-5352.

What is Shauna Mazzulla's specialty?

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

Is Shauna Mazzulla enrolled in Medicare?

Yes. Shauna Mazzulla 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 Shauna Mazzulla accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Shauna Mazzulla 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 Shauna Mazzulla was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.