JAMES WILLIAM SANTORO O.D.
NPI 1578799292
Optometrist in Federal Way, WA

Q: What is James Santoro's NPI number?

The NPI number for James Santoro is 1578799292. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Q: What is James Santoro'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 James Santoro was last updated on December 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 09, 2009PECOS EnrolledAccepts Medicare Assignment

34719 6TH AVE S, FEDERAL WAY, WA 98003(206) 212-2100(206) 212-2194 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About James William Santoro O.d. NPPES

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

JAMES WILLIAM SANTORO O.D. (NPI 1578799292) is an individual optometrist in Federal Way, Washington, licensed in Washington (3296) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1996).

NPPES Registry Identity

NPI1578799292

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJAMES WILLIAM SANTOROCredential: O.D.

Location Address34719 6TH AVE SFederal Way, WA 98003-8714

Mailing AddressPo Box 25020Federal Way, WA 98093-2020 · (206) 212-2163 · Fax (206) 212-2194

Phone(206) 212-2100

Fax(206) 212-2194

Sole ProprietorYes

Medical School CMSPacific University - College Of OptometryGraduated 1996

Enumeration DateJune 9, 2009

Last NPPES UpdateDecember 6, 2018

✔ NPI 1578799292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in WA · 3296✔ Licensed in MT · 672

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.

34719 6TH AVE S, Federal Way, WA 98003

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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 and accepts Medicare assignment

James William Santoro 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 ID6406002104

PECOS Enrollment IDI20120813000470

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 Reassignments

Medicare enrollment records show James Santoro reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Evergreen Eye Center, PLLC

Same address

Ophthalmology

34719 6TH AVE S
Federal Way, WA 98003

Reassigned Medicare billing, Washington enrollment
41 clinicians in this Medicare group

NPI 1700959293 (206) 212-2100

Optum Care Washington PLLC

47 mi

Multi-Specialty

3901 HOYT AVE
Everett, WA 98201

Reassigned Medicare billing, Washington enrollment
1,285 clinicians in this Medicare group

NPI 1831186766 (425) 259-0966

North Cascade Eye Associates Ps

77 mi

Ophthalmology

2100 LITTLE MOUNTAIN LN
Mount Vernon, WA 98274

Reassigned Medicare billing, Washington enrollment
15 clinicians in this Medicare group

NPI 1093750481 (360) 416-6735

Fairhaven Vision Clinic PLLC

99 mi

Optometrist

1207 OLD FAIRHAVEN PKWY
Bellingham, WA 98225

Reassigned Medicare billing, Washington enrollment
2 clinicians in this Medicare group

NPI 1356413439 (360) 733-1190

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

Areas of Expertise CMS Part B claims 5

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.

126 services125 patients

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.

46 services44 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

44 services44 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

44 services37 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98003 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 11

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

MCKENZIE SUZANNE FOGARTY OD

Optometrist