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

Shauna Mazzulla, OD

Individual provider Optometrist · NPI 1396893608

Shauna Mazzulla, OD is an Optometry in Sammamish, Washington. Graduated from Illinois College of Optometry at Chicago in 2001, 25 years ago. Practices with Aeg Washington Professional PC, a 61-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
25
Trained at
Illinois College of Optometry at Chicago
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

602 228th Ave NE
Sammamish, WA 98074-7241
Phone: (425) 836-5352
Fax: (425) 898-9880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3661 TX (WA)

Record details

NPI number1396893608
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address602 228th Ave Ne, Sammamish, WA 98074-7241

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2001 (25 years in practice)
Group practice Aeg Washington Professional Pc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Sammamish