OPTICAL SHOP OF WA INC
NPI 1730362435
Optometrist in Shelton, WA

Q: What is Optical Shop Of Wa Inc's NPI number?

The NPI number for Optical Shop Of Wa Inc is 1730362435. It was assigned to this organization in the NPPES registry on December 17, 2007.

Q: What is Optical Shop Of Wa Inc's specialty?

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

Active since December 17, 2007

1635 OLYMPIC HWY N, SUITE 102, SHELTON, WA 98584(360) 427-7553(360) 426-2033 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Optical Shop Of Wa Inc NPPES

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

OPTICAL SHOP OF WA INC (NPI 1730362435) is a healthcare organization registered as an optometrist in Shelton, Washington and active in the NPI registry since December 2007. The organization lists Dolores Mae Fraire, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1730362435

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameOPTICAL SHOP OF WA INC

Location Address1635 OLYMPIC HWY N, SUITE 102Shelton, WA 98584-3065

Mailing Address1635 Olympic Hwy N, Suite 102Shelton, WA 98584-3065 · (360) 427-7553 · Fax (360) 426-2033

Phone(360) 427-7553

Fax(360) 426-2033

Organization SubpartNo

Authorized OfficialDolores Mae FraireOptometrist · (360) 427-7553

Enumeration DateDecember 17, 2007

Last NPPES UpdateAugust 2, 2016

✔ NPI 1730362435 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 · 3108

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.

1635 OLYMPIC HWY N, Shelton, WA 98584

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Other Identifiers 3

Medicare NSC1051190001WA

Medicare PINGAB18133WA

Medicare UPINU83955WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Optical Shop Of Wa Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Optical Shop Of Wa Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dolores Fraire, OD

Optometry

NPI 1033103221

1635 OLYMPIC HWY N STE 102
Shelton, WA 98584

(360) 427-7553

✔ PECOSSame address

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 Optical Shop Of Wa Inc's NPI number?

The NPI number for Optical Shop Of Wa Inc is 1730362435. It was assigned to this organization in the NPPES registry on December 17, 2007.

Where is Optical Shop Of Wa Inc located?

Optical Shop Of Wa Inc is located at 1635 Olympic Hwy N Suite 102, Shelton, WA 98584. The listed phone number is (360) 427-7553.

What is Optical Shop Of Wa Inc's specialty?

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

Is Optical Shop Of Wa Inc enrolled in Medicare?

Yes. Optical Shop Of Wa Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optical Shop Of Wa Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Optical Shop Of Wa 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Optical Shop Of Wa Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Optical Shop Of Wa 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 Optical Shop Of Wa Inc was last updated on August 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.