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

Individual provider Optometrist · NPI 1194341891

Dr. Stefanie Clendaniel, OD is an Optometry in Seattle, Washington. Qualified in 2020, 6 years ago. Practices with Simon Eye Associates PA, a 35-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2020
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

9720 4th Ave NE
Seattle, WA 98115-2143
Phone: (206) 527-7132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD61058381 (WA)

Record details

NPI number1194341891
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 18, 2020
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing address9720 4th Ave Ne, Seattle, WA 98115-2143

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Simon Eye Associates Pa — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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