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

Dr. Elisha M Fog, OD

Individual provider Optometrist · NPI 1487331351

Dr. Elisha M Fog, OD is an Optometry in Seattle, Washington. Graduated from Pacific University - College of Optometry in 2024, 2 years ago. Practices with Seattle Vision Clinic Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Trained at
Pacific University - College of Optometry
Licensed in
WA
In the registry since
2023
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

677 S Jackson St
Seattle, WA 98104-2928
Phone: (206) 623-1100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD61562432 (WA)

Record details

NPI number1487331351
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 30, 2023
Last updated in NPPESJuly 6, 2024
Certification dateJuly 6, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice Seattle Vision Clinic Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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