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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | OD00003501 | WA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2026748 | 05 |
Street Address |
25022 104TH AVE SE STE D |
City | KENT |
State | WA |
Zip Code | 98030-2822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497225882 | Northwest Eye Project Ps | Optometrist | 25022 104th Ave Se Ste D, Kent, WA 98030-2822 | 2018-11-28 |
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 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 |
---|---|---|---|---|
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 |
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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.