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

Individual provider Optometrist · NPI 1235265547

Dr. Stacy Mayumi Taketa, OD is an Optometry in Seattle, Washington. Graduated from New England College of Optometry in 2000, 26 years ago. Practices with City Eyeworks LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
26
Trained at
New England College of Optometry
Licensed in
WA
In the registry since
2007
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

5101 25th Ave NE Ste 10
Seattle, WA 98105-3225
Phone: (206) 432-9051
Fax: (206) 432-9264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 003611 (WA)

Record details

NPI number1235265547
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 23, 2007
Last updated in NPPESOctober 14, 2011

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2000 (26 years in practice)
Group practice City Eyeworks Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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