TIFFANY JOY HOLLENBECK (NPI# 1669477725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669477725 |
| Entity Type | Individual |
| Full Name | TIFFANY JOY HOLLENBECK |
| Credential | OD |
| Practice Address |
908 Jefferson St Ste 101 Seattle WA 98104-2433 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2068974774 |
| Practice Fax Number | 7635468114 |
| Mailing Telephone | 2065436420 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2013-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3825TX | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1669477725 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487073102 | Tiffany Anne Hollenbeck | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2014-04-09 |
| Street Address |
908 JEFFERSON ST STE 101 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728709 | Michael E Brage | Orthopaedic Surgery | 908 Jefferson St, Box 359799, Seattle, WA 98104-2433 | 2005-05-27 |
| 1780140442 | Abigail L Polizotto | Physician Assistant | 908 Jefferson St, Seattle, WA 98104-2433 | 2019-02-18 |
| 1316433436 | Christopher Wai Lew | Physical Therapist | 908 Jefferson St, Seattle, WA 98104-2433 | 2018-07-02 |
| 1346776846 | Jessica Cady Eaton | Student in an Organized Health Care Education/Training Program | 908 Jefferson St, Seattle, WA 98104-2433 | 2017-05-04 |
| 1386178309 | Jacob Wilkerson | Student in an Organized Health Care Education/Training Program | 908 Jefferson St, Ninth and Jefferson Building (njb), 8th Floor Room 809, Seattle, WA 98104-2433 | 2017-04-17 |
| 1801334248 | Morissa Pertik | Physician Assistant | 908 Jefferson St, Suite 11nj-1166, Seattle, WA 98104-2433 | 2017-02-06 |
| 1205288644 | Philippe Martel | Neurological Surgery | 908 Jefferson St, Seattle, WA 98104-2433 | 2016-07-11 |
| 1346619335 | Catherine G Ignacio | Nurse Practitioner | 908 Jefferson St, 5th Floor, Seattle, WA 98104-2433 | 2015-09-19 |
| 1639580194 | Christine Ann Petersen | Ophthalmology | 908 Jefferson St, Seattle, WA 98104-2433 | 2014-05-17 |
| 1134530330 | Saad Elrahmany | Orthopaedic Surgery | 908 Jefferson St, Seattle, WA 98104-2433 | 2014-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370371 | Optometry Medical Group Inc | Optometrist | 1721 22nd Ave, Seattle, WA 98122-3324 | 2020-09-09 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1376083741 | International Community Health Services | Optometrist | 718 8th Ave S, Seattle, WA 98104-3006 | 2017-03-03 |
| 1962947978 | Jemimah Miranda Corpuz | Optometrist | 3324 Rainier Ave S, Seattle, WA 98144-6034 | 2016-12-29 |
| 1396292058 | Urban Optix LLC | Optometrist | 400 Fairview Ave N Ste 115, Seattle, WA 98109-5370 | 2016-09-09 |
| 1518412063 | Eyeballz Ltd. | Optometrist | 166 Roy St, Seattle, WA 98109-4128 | 2016-08-24 |
| 1467804864 | Brittany Kim Ng | Optometrist | 9709 3rd Ave Ne Fl 3, Seattle, WA 98115-2062 | 2016-07-08 |
| 1205297835 | Vinayak Varun Ravuri | Optometrist | 2718 Franklin Ave E Apt 11, Seattle, WA 98102-3102 | 2016-03-09 |
| 1902288202 | Noelle Sun | Optometrist | 4626 Martin Luther King Jr Way S, Seattle, WA 98108-2135 | 2015-06-23 |
| 1396142873 | Evie Lawson, Od, Ps | Optometrist | 7225 27th Ave Ne, Seattle, WA 98115-5821 | 2014-11-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.