DR. KAVITA BANSIL (NPI# 1790836955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790836955 |
| Entity Type | Individual |
| Full Name | DR. KAVITA BANSIL |
| Other Name | DR. KAVITA BANSIL CONVERSE |
| Credential | OD |
| Practice Address |
310 15th Ave E Seattle WA 98112-5103 |
| Practice Telephone | 2063263867 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2013-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD00003138 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2020964 | 05 | |
| WA | LABOR AND INDUSTRIES # | 0039597 | 01 |
| WA | AETNA SPECIALIST PIN | US2335669 | 01 |
| AK | OD533WA | 05 | |
| WA | BLUE SHIELD # | 1334BA | 01 |
| Street Address |
310 15TH AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676122 | Charlie Browne | Specialist | 310 15th Ave E, Cnb-2, Seattle, WA 98112-5103 | 2005-08-22 |
| 1669096350 | Mikaela Rachel Harf | Social Worker | 310 15th Ave E, Seattle, WA 98112-5103 | 2020-05-29 |
| 1407390099 | Ashley Harlan | Registered Nurse | 310 15th Ave E, Seattle, WA 98112-5103 | 2016-12-15 |
| 1265841159 | Candace Mabbitt | Advanced Practice Midwife | 310 15th Ave E, Seattle, WA 98112-5103 | 2014-08-05 |
| 1245658343 | Adriana Piazza | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2014-04-04 |
| 1043563034 | Serena Sherrill | Social Worker | 310 15th Ave E, Seattle, WA 98112-5103 | 2012-10-16 |
| 1801187885 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 310 15th Ave E, Seattle, WA 98112-5103 | 2011-04-26 |
| 1427348887 | Kyunghee Kim | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2011-04-19 |
| 1982919437 | Geetha Narayani Fink | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2010-08-09 |
| 1518196500 | Andrew E Warner | Obstetrics & Gynecology | 310 15th Ave E, Group Health, Capitol Hill North Building, Seattle, WA 98112-5103 | 2009-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| 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 |
|---|---|---|---|---|
| 1598370371 | Optometry Medical Group Inc | Optometrist | 1721 22nd Ave, Seattle, WA 98122-3324 | 2020-09-09 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1376083741 | International Community Health Services | Optometrist | 718 8th Ave S, Seattle, WA 98104-3006 | 2017-03-03 |
| 1962947978 | Jemimah Miranda Corpuz | Optometrist | 3324 Rainier Ave S, Seattle, WA 98144-6034 | 2016-12-29 |
| 1396292058 | Urban Optix LLC | Optometrist | 400 Fairview Ave N Ste 115, Seattle, WA 98109-5370 | 2016-09-09 |
| 1518412063 | Eyeballz Ltd. | Optometrist | 166 Roy St, Seattle, WA 98109-4128 | 2016-08-24 |
| 1467804864 | Brittany Kim Ng | Optometrist | 9709 3rd Ave Ne Fl 3, Seattle, WA 98115-2062 | 2016-07-08 |
| 1205297835 | Vinayak Varun Ravuri | Optometrist | 2718 Franklin Ave E Apt 11, Seattle, WA 98102-3102 | 2016-03-09 |
| 1902288202 | Noelle Sun | Optometrist | 4626 Martin Luther King Jr Way S, Seattle, WA 98108-2135 | 2015-06-23 |
| 1396142873 | Evie Lawson, Od, Ps | Optometrist | 7225 27th Ave Ne, Seattle, WA 98115-5821 | 2014-11-26 |
| Find all providers in SEATTLE | ||||
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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.