DR. SAPHOL ROS (NPI# 1679518161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679518161 |
| Entity Type | Individual |
| Full Name | DR. SAPHOL ROS |
| Credential | OD |
| Practice Address |
17801 108th Ave Se Renton WA 98055-6420 |
| Practice Telephone | 4252719211 |
| Practice Fax Number | 4252719214 |
| Mailing Telephone | 4252719211 |
| Mailing Fax Number | 4252719214 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD00001898 | WA | Eye and Vision Services Providers |
| Street Address |
17801 108TH AVE SE |
| City | RENTON |
| State | WA |
| Zip Code | 98055-6420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366486409 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 17801 108th Ave Se, Renton, WA 98055-6420 | 2006-06-16 |
| 1750998001 | Geneva Nguyen | Pharmacist | 17801 108th Ave Se, Renton, WA 98055-6423 | 2020-09-29 |
| 1255945390 | James Daniel Abel | Optometrist | 17801 108th Ave Se, Renton, WA 98055-6423 | 2020-09-05 |
| 1417474487 | Parminder Kaur Sekhon | Pharmacist | 17801 108th Ave Se, Renton, WA 98055-6423 | 2017-08-29 |
| 1114265394 | Zillehuma Shakir | Pharmacist | 17801 108th Ave Se, Renton, WA 98055-6423 | 2013-01-23 |
| 1770834301 | Ayano Mizote | Pharmacist | 17801 108th Ave Se, Renton, WA 98055-6423 | 2012-09-21 |
| 1437405255 | Chirag Narendra Vakharia | Pharmacist | 17801 108th Ave Se, Renton, WA 98055-6423 | 2012-07-30 |
| 1447524947 | Janet Abbott | Pharmacist | 17801 108th Ave Se, Renton, WA 98055-6423 | 2012-03-01 |
| 1952674053 | Farhia Mohamed Hassan | Pharmacist | 17801 108th Ave Se, Renton, WA 98055-6423 | 2012-02-20 |
| 1952613572 | Minh Nguyen | Pharmacist | 17801 108th Ave Se, Renton, WA 98055-6423 | 2010-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| 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 |
|---|---|---|---|---|
| 1013570381 | Ali Mainayar | Optometrist | 1412 Sw 43rd St # 310, Renton, WA 98057-4803 | 2019-04-22 |
| 1598002453 | Oceanclear Eyecare, Inc | Optometrist | 4605 Ne 4th St Ste C, Renton, WA 98059-5055 | 2013-01-12 |
| 1467700567 | Lawson Jones, Inc. | Optometrist | 822 N 10th Pl Ste A, Renton, WA 98057-5593 | 2012-08-21 |
| 1821345125 | Aditi Kakade | Optometrist | 1135 Lake Washington Blvd N, Unit G401, Renton, WA 98056-4815 | 2012-08-06 |
| 1801151782 | Weihan Wang | Optometrist | 12213 Se 164th St, Renton, WA 98058-5354 | 2012-07-06 |
| 1710276001 | Retina and Macula Specialists Ps | Optometrist | 1107 Sw Grady Way, Suite 222, Renton, WA 98057-5217 | 2011-04-07 |
| 1366744732 | Lawson Jones, Inc. | Optometrist | 822 N. 10th Pl, Suite A, Renton, WA 98057 | 2010-11-17 |
| 1083915532 | Wendy Kuo-eveland | Optometrist | 4605 Ne 4th St, Suite C, Renton, WA 98059-5055 | 2010-11-14 |
| 1184862963 | Vista Eye Care, Ps | Optometrist | 17801 108th Ave Se Ste A, Renton, WA 98055-6420 | 2009-02-02 |
| 1770744625 | Leslie Marie Falch | Optometrist | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2008-06-23 |
| Find all providers in RENTON | ||||
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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.