DR. VUTHA KEO (NPI# 1699038661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699038661 |
| Entity Type | Individual |
| Full Name | DR. VUTHA KEO |
| Credential | O.D. |
| Practice Address |
3901 Hoyt Ave Everett WA 98201-4918 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4253395435 |
| Practice Fax Number | 4253173932 |
| Mailing Telephone | 4253395435 |
| Mailing Fax Number | 4253173932 |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2016-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD60324660 | WA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 14459 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2057670 | 05 |
| Street Address |
3901 HOYT AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086168 | Louie E Tsiktsiris | Internal Medicine | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2005-07-11 |
| 1720606288 | Janelle Pennock | Social Worker | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2020-07-10 |
| 1124660881 | Kathryn G Arneson | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-10-15 |
| 1144879933 | Laura Gaskill | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-09-05 |
| 1114572336 | Katie Mcwilliams | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-08-05 |
| 1134782543 | Nicole Lee Reis-eibara | Nurse Practitioner | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-04-22 |
| 1689139941 | Bridget Frauenholtz | Physician Assistant | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-01-31 |
| 1598229445 | Vanessa Nelson | Dietitian, Registered | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-01-24 |
| 1740779115 | Jamie Dong Viet Nguyen | Pharmacist | 3901 Hoyt Ave, Everett, WA 98201 | 2018-05-01 |
| 1902322274 | Aarica Arora | Family Medicine | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2017-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
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| 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 |
|---|---|---|---|---|
| 1023518818 | Dr. Veenu Gill and Associates P.C. | Optometrist | 1885 Revere Beach Pkwy Ste 3, Everett, MA 02149-5923 | 2018-02-18 |
| 1083090773 | Anthony Michael Belekanich | Optometrist | Naval Branch Health Clinic Everett, 2000 West Marine View Drive, Everett, WA 98207-0001 | 2015-08-04 |
| 1356726194 | Juliette Makijew | Optometrist | 1402 Se Everett Mall Way Ste 262, Everett, WA 98208-2824 | 2015-07-22 |
| 1841684677 | Eye-q Docs of Everett Ltd | Optometrist | 3726 Broadway Ste 106, Everett, WA 98201-3787 | 2015-03-18 |
| 1558703165 | Quang Nguyen | Optometrist | 3726 Broadway Ste 106na, Everett, WA 98201 | 2013-07-24 |
| 1194038026 | Rachel Spillane | Optometrist | 2907 107th St Se, Everett, WA 98208-4452 | 2010-07-20 |
| 1316191521 | Roberta Teixeira Feraco | Optometrist | 1885 Revere Beach Pkwy, Suite 03, Everett, MA 02149-5923 | 2008-11-14 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| 1891831079 | Brande Saad Group-bedford | Optometrist | 111 Fairview St., Everett, PA 15537-6337 | 2007-01-29 |
| 1558426601 | Lynette M Sundholm | Optometrist | 10101 19th Ave Se Ste B, Everett, WA 98208-4255 | 2006-12-27 |
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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.