Stacy Mayumi Taketa, O.D.
Optometrist · Seattle, WA
Stacy Mayumi Taketa, O.D. is an optometrist with a practice address in Seattle, Washington, and NPI 1235265547, issued on Feb 23, 2007. Check the license (Washington 003611, as entered in NPPES) with the Washington board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Stacy Mayumi Taketa
- Credential
- O.D.
- Primary taxonomy
- Optometrist 152W00000X
- License number
- 003611 WA
Self-reported in NPPES; status is on the state search - Practice location
- 5101 25TH Ave NE Ste 10, Seattle, WA 98105
- Phone
- (206) 432-9051
- Enumerated
- Feb 23, 2007
- Record last updated
- Oct 14, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (206) 432-9264
- Medicare enrollment
- Enrolled (PECOS I20080926000249); accepts Medicare assignment
- Medical or professional school
- New England College Of Optometry, 2000
- Entity
- Type 1 · individual
Also registered at 5101 25TH Ave NE Ste 10
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Pamela Chin, ODOptometrist1669472908
Verify Stacy Mayumi Taketa in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license 003611Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $962.63
17 payments; by number, the most common kind was food and beverage; the largest payer was CooperVision Inc. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- City Eyeworks LLCSeattle, WA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Optometrist providers in Washington
There are 1,641 optometrist records in Washington.
Other optometrist records in Washington
- Jenni Aaseby, O.D.Shelton, WA1720133374
- Meagan-Rhose Abanto, ODEverett, WA1457027880
- Jabeen Abdulla, O.D.Tacoma, WA1629304217
- James Abel, ODRenton, WA1255945390
- Christina Abercrombie, ODKent, WA1346906252
- Ashley Abiva, ODSeattle, WA1902572449
- Kenneth Absalonson, ODSpokane, WA1811206998
- Nour Abu-Haltam, ODVancouver, WA1194602037
- Peter Adachi, ODSeattle, WA1811040058
- Mark Aginsky, O.D.Bellingham, WA1730169285
Common questions
What is Stacy Mayumi Taketa, O.D.'s NPI number?
Stacy Mayumi Taketa, O.D.'s National Provider Identifier (NPI) is 1235265547, issued on Feb 23, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Stacy Mayumi Taketa, O.D. located?
The NPPES record lists a practice address at 5101 25TH Ave NE Ste 10, Seattle, WA, 98105. Phone: (206) 432-9051. Providers update this record themselves, so call before visiting.
How can I verify Stacy Mayumi Taketa, O.D.'s license?
NPPES lists Washington license number 003611, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.