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

Kory Botelho, OD

Individual provider Optometrist · NPI 1407302003

Kory Botelho, OD is an Optometry in Tukwila, Washington. Graduated from Pacific University - College of Optometry in 2016, 10 years ago. Practices with Max Vision PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Trained at
Pacific University - College of Optometry
Licensed in
WA
In the registry since
2016
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

411 Strander Blvd Ste 202
Tukwila, WA 98188-2959
Phone: (206) 575-4396
Fax: (206) 575-4396
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 60660393 (WA)

Record details

NPI number1407302003
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 1, 2016
Last updated in NPPESJune 21, 2022
Certification dateJanuary 5, 2022
Mailing address411 Strander Blvd Ste 202, Tukwila, WA 98188-2959

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2016 (10 years in practice)
Group practice Max Vision Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tukwila