BENSON VISION SOURCE, INC.


Address: 25022 104th Ave Se Ste D, Kent, WA 98030-2822
Phone: 2538591911

BENSON VISION SOURCE, INC. (NPI# 1679601512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679601512
Entity Type Organization
Organization Name BENSON VISION SOURCE, INC.
Practice Address 25022 104th Ave Se Ste D
Kent
WA 98030-2822
Practice Telephone 2538591911
Practice Fax Number 2538595084
Mailing Telephone 2538591911
Mailing Fax Number 2538595084
Enumeration Date 2007-03-01
Last Update Date 2012-11-26
Authorized Official Name DR. THOMAS L MITCHELL (PRESIDENT)
Authorized Official Telephone 2538591911
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OD00003501 WA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 2026748 05

Office Location

Street Address 25022 104TH AVE SE STE D
City KENT
State WA
Zip Code 98030-2822

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497225882 Northwest Eye Project Ps Optometrist 25022 104th Ave Se Ste D, Kent, WA 98030-2822 2018-11-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871193193 Sarah V Swan Occupational Therapist 12033 Se 265th St, Kent, WA 98030 2020-10-27
1346889250 Kaylee Meilahn Nurse Practitioner 219 State Ave. N, Suite 220, Kent, WA 98030 2019-12-26
1508417429 Pamela Stefansky Technician 25927 119th Ct Se, Kent, WA 98030 2019-09-23
1144703885 Healthpoint Clinic/Center 219 State Ave N, Ste 100, Kent, WA 98030 2018-09-10
1932681921 Johana Sanchez-vidales Massage Therapist 24837 104th Ave Se #100, Kent, WA 98030 2018-09-05
1265925309 Linda Tomkins Chiropractor 12901 Se Kent-kangley Rd, Kent, WA 98030 2018-06-13
1952809543 Sarah Rose Collins Massage Therapist 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 2018-01-29
1942726815 Alexandra B Zigmont Physical Therapist 12926 Se Kent Kangley Road, Kent, WA 98030 2017-08-22
1659801256 Mitra Lal Dhital Counselor 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 2017-06-15
1952838658 Elizabeth Burson Registered Nurse 25742 104th Avenue Se, Kent, WA 98030 2017-05-12
Find all providers in zip 98030

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215544101 Destiny Nicole Mccoy Optometrist 19400 108th Ave Se Ste 202, Kent, WA 98031-0108 2020-09-25
1225681638 Yena Kim-hall Optometrist 443 Ramsay Way Apt 320, Kent, WA 98032-5013 2019-07-24
1811424724 Jay Michael Huber Optometrist 10024 Se 240th St Ste 220, Kent, WA 98031-5124 2017-05-23
1124470026 Jonathan Nguyen Dong Optometrist 10725 Se 256th St Ste 4, Kent, WA 98030 2016-07-05
1396978060 Christina A Isaman Optometrist 3975 Cascades Blvd, Suite 18, Kent, OH 44240-8053 2009-08-28
1972731099 Kent Eyecare, LLC Optometrist 5 Kent Green Blvd, Kent, CT 06757-0307 2009-06-26
1699801886 Alexandra Gelt Optometrist 8009 S 180th St Ste 104, Kent, WA 98032-1042 2007-02-24
1396893608 Shauna Mazzulla Optometrist 420 W Smith St, Suite 105, Kent, WA 98032-4423 2007-01-05
1164590030 Edward Lawrence Jones Optometrist 601 W Gowe St, Kent, WA 98032-5745 2006-11-30
1649377516 Arthur Bing Lum Jr. Optometrist 11120 Se Kent Kangley Rd, Kent, WA 98030-7708 2006-09-20
Find all providers in KENT

Competitor

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City KENT
Zip Code 98030

Improve Information

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Dataset Information

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.

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