RAINIER VALLEY OPTOMETRIC
NPI 1447391669
Optometrist in Seattle, WA
About Rainier Valley Optometric NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAINIER VALLEY OPTOMETRIC (NPI 1447391669) is a healthcare organization registered as an optometrist in Seattle, Washington and active in the NPI registry since February 2007. The organization lists Fawzidah Ton-susilasate, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rainier Valley Optometric is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Rainier Valley Optometric, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Seattle, WA 98118
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Rainier Valley Optometric, Inc's NPI number?
The NPI number for Rainier Valley Optometric, Inc is 1447391669. It was assigned to this organization in the NPPES registry on February 9, 2007. The provider is doing business as Rainier Valley Optometric.
Where is Rainier Valley Optometric, Inc located?
Rainier Valley Optometric, Inc is located at 7101 Martin Luther King Jr Way S #209, Seattle, WA 98118. The listed phone number is (206) 722-2218.
What is Rainier Valley Optometric, Inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Rainier Valley Optometric, Inc enrolled in Medicare?
Yes. Rainier Valley Optometric, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rainier Valley Optometric, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Rainier Valley Optometric, Inc. A 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 the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Rainier Valley Optometric, Inc accept?
Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Rainier Valley Optometric, Inc 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 Rainier Valley Optometric, Inc was last updated on May 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Rainier Valley Optometric · NPI 1447391669
Optometrist organization in Seattle, Washington. Organization record, active in the CMS NPPES registry since February 9, 2007.
## Identity
- **NPI:** 1447391669 (Entity type: Organization)
- **Enumerated:** February 9, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Rainier Valley Optometric, Inc
- **Organization subpart:** No
- **Authorized official:** Fawzidah Ton-Susilasate, OFFICE MANAGER
## Practice location
- **Address:** 7101 MARTIN LUTHER KING JR WAY S, #209, Seattle, WA 98118-3594
- **Phone:** (206) 722-2218 · **Fax:** (206) 722-2211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2017
- **Other identifiers:** Medicare PIN G8805943 (WA); Medicaid 2029262 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1447391669) · Data from the CMS NPPES public registry.