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

Stacey Keppol, OD

Individual provider Optometrist · NPI 1093155103

Stacey Keppol, OD is an Optometry in Bellevue, Washington. Graduated from New England College of Optometry in 2013, 13 years ago. Practices with Pacific Cataract and Laser Institute Inc PC, a 76-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Trained at
New England College of Optometry
Licensed in
WA
In the registry since
2013
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

2606 116th Ave NE Ste 100
Bellevue, WA 98004-1422
Phone: (425) 462-7664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 — (215) 276-6000
  • 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 — (215) 276-6000
  • 10330 Meridian Ave N Ste 370, Seattle, WA 98133-9463 — (206) 528-6000

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD60840014 (WA)

Record details

NPI number1093155103
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 3, 2013
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing addressPo Box 1506, Chehalis, WA 98532-0409

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2013 (13 years in practice)
Group practice Pacific Cataract And Laser Institute Inc Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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