Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Benjamin Lee Waldo, OD

Individual provider Optometrist · NPI 1194780361

Dr. Benjamin Lee Waldo, OD is an Optometry in Vancouver, Washington. Graduated from Southern College of Optometry in 2004, 22 years ago. Practices with Salmon Creek Vision Centre, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
22
Trained at
Southern College of Optometry
Licensed in
WA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

14201 NE 20th Ave Ste A102
Vancouver, WA 98686-6411
Phone: (360) 574-6030
Fax: (360) 574-4116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 60022188OD (WA)

Record details

NPI number1194780361
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 19, 2006
Last updated in NPPESOctober 21, 2024
Certification dateJanuary 24, 2023
Mailing address14201 Ne 20th Ave, Ste A102, Vancouver, WA 98686-6411

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2004 (22 years in practice)
Group practice Salmon Creek Vision Centre, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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