1. Home
  2. Directory
  3. Washington
  4. Shoreline
  5. Optometrist
  6. NPI Profile

ERIKA TYDOR O.D.
NPI 1407119001
Optometrist in Shoreline, WA

Active since June 19, 2012PECOS Enrolled
18021 15TH AVE NE SUITE 100, SHORELINE, WA 98155(206) 367-8883(206) 913-2915 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Erika Tydor O.d. NPPES

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

ERIKA TYDOR O.D. (NPI 1407119001) is an individual optometrist in Shoreline, Washington, licensed in Washington (OD60293866) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407119001
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameERIKA TYDORCredential: O.D.
Location Address18021 15TH AVE NE SUITE 100Shoreline, WA 98155
Mailing Address18021 15th Ave Ne Suite 100Shoreline, WA 98155 · (206) 367-8883 · Fax (206) 913-2915
Phone(206) 367-8883
Fax(206) 913-2915
Sole ProprietorNo
Enumeration DateJune 19, 2012
Last NPPES UpdateAugust 20, 2015
✔ NPI 1407119001 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 · OD60293866
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.
18021 15TH AVE NE SUITE 100, Shoreline, WA 98155
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erika Tydor O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Erika Tydor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shoreline Eyecare PC
Same address
Optometrist
18021 15TH AVE NE, SUITE 100
Shoreline, WA 98155
  • Reassigned Medicare billing, Washington enrollment
NPI 1972989069 (206) 367-8883

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98155 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.

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 Erika Tydor's NPI number?

The NPI number for Erika Tydor is 1407119001. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Erika Tydor located?

Erika Tydor practices at 18021 15th Ave NE Suite 100, Shoreline, WA 98155. The listed phone number is (206) 367-8883.

What is Erika Tydor's specialty?

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

Is Erika Tydor enrolled in Medicare?

Yes. Erika Tydor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Erika Tydor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erika Tydor reassigns Medicare benefits to Shoreline Eyecare PC (Shoreline, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erika Tydor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erika Tydor accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Erika Tydor 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 Erika Tydor was last updated on August 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.