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

Dr. Samaneh Davoudimoghaddam, MD

Individual provider Ophthalmology Physician · NPI 1073036612

Dr. Samaneh Davoudimoghaddam, MD is an Ophthalmology in Renton, Washington. Qualified in 2007, 19 years ago. Practices with Retina Institute, PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
19
Licensed in
WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4300 Talbot Rd S Ste 300
Renton, WA 98055-6238
Phone: (425) 228-6262
Fax: (425) 228-6260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence WA61387239 (WA)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence WA61387239 (WA)

Record details

NPI number1073036612
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 25, 2017
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address4300 Talbot Rd S Ste 300, Renton, WA 98055-6238

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Retina Institute, Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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