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

Wilbur Susilasate, OD

Individual provider Optometrist · NPI 1891783676

Wilbur Susilasate, OD is an Optometry in Seattle, Washington. Graduated from University of California - School of Optometry in 2000, 26 years ago. Practices with Rainier Valley Optometric Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
26
Trained at
University of California - School of Optometry
Licensed in
WA
In the registry since
2005
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

7101 Martin Luther King Jr Way S #209
Seattle, WA 98118-3594
Phone: (206) 722-2218
Fax: (206) 722-2211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD 3608 (WA)

Record details

NPI number1891783676
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 6, 2005
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Graduated 2000 (26 years in practice)
Group practice Rainier Valley Optometric Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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