KINGSTON EYECARE CENTER, LLC (NPI# 1134293228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134293228 |
| Entity Type | Organization |
| Organization Name | KINGSTON EYECARE CENTER, LLC |
| Other Organization Name | 2020 EYECARE CENTERS KINGSTON |
| Practice Address |
25989 Barber Cut Off Rd Ne Kingston WA 98346-8455 |
| Practice Telephone | 3602972844 |
| Practice Fax Number | 3602973854 |
| Mailing Telephone | 3602972844 |
| Mailing Fax Number | 3602973854 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | MITCHELL D BROCKETT (OWNER) |
| Authorized Official Telephone | 3602972844 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| 2020 Eyecare Centers Kingston | Doing Business As Name - Organization |
| Street Address |
25989 BARBER CUT OFF RD NE |
| City | KINGSTON |
| State | WA |
| Zip Code | 98346-8455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396723466 | Edward Simon | Internal Medicine | 25989 Barber Cut Off Rd Ne, Suite A3, Kingston, WA 98346-8455 | 2006-01-09 |
| 1700326246 | Peninsula Community Health Services | Family Medicine | 25989 Barber Cut Off Rd Ne, Kingston, WA 98346-8455 | 2017-03-02 |
| 1528517265 | Anchor Chiropractic, Pllc | Chiropractor | 25989 Barber Cut Off Rd Ne, Kingston, WA 98346-8455 | 2016-09-22 |
| 1063859676 | Colleen Marie Toepfer | Massage Therapist | 25989 Barber Cut Off Rd Ne, Kingston, WA 98346-8455 | 2013-05-23 |
| 1528242252 | Erin Jones | Massage Therapist | 25989 Barber Cut Off Rd Ne, Kingston, WA 98346-8455 | 2007-12-17 |
| 1336204924 | Thomas R Lamar | Chiropractor | 25989 Barber Cut Off Rd Ne, Kingston, WA 98346 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725688 | Sierra Joye Lari | Massage Therapist | 8202 Ne Highway 104, Suite 105, Kingston, WA 98346 | 2020-03-12 |
| 1235641705 | Reba Lee Harris | Counselor | 7550 Little Boston Road N.e, Kingston, WA 98346 | 2017-10-24 |
| 1134592421 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 700 Alamo Pintado Road, Solvang, CA 98346 | 2015-11-09 |
| 1588000764 | Donald G Hill | Contractor | 26325 Ne Illinois Ave, B 105, Kingston, WA 98346 | 2013-05-15 |
| 1104161900 | Marcus Dean Atkinson | Massage Therapist | 8202 Ne Hwy 104, Ste 105, Kingston, WA 98346 | 2012-12-05 |
| 1245580687 | Samantha Christine Kottke | Massage Therapist | 25960 Ohio Ave Suite 206, Kingston, WA 98346 | 2012-09-13 |
| 1265713390 | Karen Dale Friend | Pharmacist | 8196 State Highway 104, Kingston, WA 98346 | 2011-09-02 |
| 1750526323 | Megan Elizabeth Pratt | Mechanotherapist | 25925 Washington Blvd., Kingston, WA 98346 | 2008-12-10 |
| 1073787412 | Cindy Pamela Haines | Massage Therapist | 25925 Washington Boulevard Ne, Kingston, WA 98346 | 2008-04-16 |
| 1417163031 | Dian Aletha Poyssick | Pharmacist | 8196 State Route 104, Kingston, WA 98346 | 2007-05-14 |
| Find all providers in zip 98346 | ||||
| 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 |
|---|---|---|---|---|
| 1003194671 | Vardaan Sood | Optometrist | 9 Boices Ln, Empire Vision Centres, Kingston, NY 12401-1512 | 2011-07-29 |
| 1033412374 | John J Lee Od PC | Optometrist | 101 Independence Mall Way Ste C104, Kingston, MA 02364-2285 | 2010-12-08 |
| 1487818019 | John J Lee, O.d. | Optometrist | 101 Independence Mall Way # C104, Kingston, MA 02364-3048 | 2008-07-13 |
| 1205098050 | University Optometrist Services Inc | Optometrist | 50 Lower College Rd, Kingston, RI 02881 | 2008-07-01 |
| 1740482355 | Robert Sharpley Parker IIi | Optometrist | 931 W Race St, Suite A, Kingston, TN 37763-2123 | 2007-06-05 |
| 1851507396 | Steven Hertzberg | Optometrist | 1300 Ulster Ave Ste 259, Kingston, NY 12401-8103 | 2007-05-14 |
| 1558488262 | Eye Care Centers Pllc | Optometrist | 509 N Kentucky St, Kingston, TN 37763-2630 | 2007-03-26 |
| 1013033067 | Robert Eli Brown | Optometrist | 693 W Market St, Kingston, PA 18704-3422 | 2007-03-21 |
| 1043355993 | Dawn O'shea Michael | Optometrist | 50 Lower College Road, Kingston, RI 02881-0820 | 2007-02-20 |
| 1144312885 | Augustus Guarente | Optometrist | 240 Lucas Ave, Kingston, NY 12401-4316 | 2006-09-29 |
| Find all providers in KINGSTON | ||||
Please comment or provide details below to improve the information on KINGSTON EYECARE CENTER, LLC.
| 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.