DR. KYLE STEVEN SEXTON (NPI# 1922108950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922108950 |
Entity Type | Individual |
Full Name | DR. KYLE STEVEN SEXTON |
Credential | O.D. |
Practice Address |
3500 S Meridian Space 945 Puyallup WA 98373-3779 |
Mailing Address |
Po Box 65713 University Place WA 98464-1713 |
Practice Telephone | 2538649353 |
Practice Fax Number | 2538649355 |
Mailing Telephone | 2538649353 |
Mailing Fax Number | 2538649355 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2009-08-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OD00003991 | WA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2031151 | 05 | |
WA | VSP IDENTIFICATION NUMBER | 406494055 | 01 |
Street Address |
3500 S MERIDIAN SPACE 945 |
City | PUYALLUP |
State | WA |
Zip Code | 98373-3779 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972778009 | Kyle Sexton, O.d., LLC | Optometrist | 3500 S Meridian, Space 945, Puyallup, WA 98373-3779 | 2008-04-29 |
1184811382 | Michael Dane Mattson | Optometrist | 3500 S Meridian, # 900 Sears Optical, Puyallup, WA 98374 | 2007-10-02 |
1144375031 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 S Meridian, South Hill Mall, Puyallup, WA 98373-3779 | 2007-01-24 |
1114072485 | Tajinder Kaur Shergill | Optometrist | 3500 S Meridian, #345, Puyallup, WA 98373-3779 | 2007-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
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Taxonomy Code | 152WC0802X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Corneal and Contact Management |
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467446211 | Jerry Raymond Jones | Optometrist | 13909 Meridian E, A4, Puyallup, WA 98373-9180 | 2005-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639314206 | Vision Clinic Inc | Optometrist | 4008 Lovell Rd, Wenatchee, WA 98801 | 2008-12-10 |
1689857690 | Mayemura, Inc. | Optometrist | 9610 Evergreen Way, Ste. A, Everett, WA 98204-7102 | 2007-12-12 |
1023221132 | Cindy Hung | Optometrist | 407 Baker Blvd, Tukwila, WA 98188-2906 | 2007-05-07 |
1316164965 | Scott David Hansen Od PC | Optometrist | 12120 E Mission Ave Ste 2, Spokane Valley, WA 99206-5378 | 2007-04-18 |
1689898777 | Eyecare Partners, Pllc | Optometrist | 126 E Second Street, North Bend, WA 98045 | 2007-04-12 |
1831212851 | John A Harden | Optometrist | 16821 Smokey Point Blvd # 314, Arlington, WA 98223-8407 | 2007-04-06 |
1811023732 | Longview Eye & Vision | Optometrist | 180 3rd Street, Cathlamet, WA 98612 | 2007-02-26 |
1245365519 | Joseph Wallace Braun | Optometrist | 4750 N Division St Ste 126, Northtown Vision Clinic, Spokane, WA 99207-1406 | 2007-02-23 |
1114078235 | Jaclyn T Phan | Optometrist | 1912 201st Pl Se, Suite 204, Bothell, WA 98012-8570 | 2007-01-16 |
1396807947 | Lisa Ann Depietto | Optometrist | 15118 Main St, Suite 600, Mill Creek, WA 98012-1653 | 2006-12-13 |
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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.