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KORY BOTELHO O.D.
NPI 1407302003
Optometrist in Tukwila, WA

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
411 STRANDER BLVD STE 202, TUKWILA, WA 98188(206) 575-4396(206) 575-4396 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kory Botelho O.d. NPPES

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

KORY BOTELHO O.D. (NPI 1407302003) is an individual optometrist in Tukwila, Washington, licensed in Washington (60660393) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2016).

NPPES Registry Identity

NPI1407302003
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKORY BOTELHOCredential: O.D.
Location Address411 STRANDER BLVD STE 202Tukwila, WA 98188-2959
Mailing Address411 Strander Blvd Ste 202Tukwila, WA 98188-2959 · (206) 575-4396
Phone(206) 575-4396
Fax(206) 575-4396
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2016
Enumeration DateSeptember 1, 2016
Last NPPES UpdateJune 21, 2022
NPPES CertifiedJanuary 5, 2022
✔ NPI 1407302003 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 · 60660393
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.
411 STRANDER BLVD STE 202, Tukwila, WA 98188
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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

Kory Botelho 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 ID5496182396
PECOS Enrollment IDI20200304002509
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 4

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
65 services63 patients
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.
54 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98188 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.

MAX VISION PLLC
Optometrist
411 STRANDER BLVD STE 202
TUKWILA, WA 98188
King County (206) 575-4396
DANIELLE MARIE TREMBLAY
Optometrist
411 STRANDER BLVD STE 202
TUKWILA, WA 98188
King County (206) 575-4396

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 Kory Botelho's NPI number?

The NPI number for Kory Botelho is 1407302003. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Kory Botelho located?

Kory Botelho practices at 411 Strander Blvd Ste 202, Tukwila, WA 98188. The listed phone number is (206) 575-4396.

What is Kory Botelho's specialty?

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

Is Kory Botelho enrolled in Medicare?

Yes. Kory Botelho 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 Kory Botelho accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Kory Botelho 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 Kory Botelho was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.