KAILEY UTLEY


Address: 9040 Jackson Ave, Tacoma, WA 98431-0001
Phone: 2539682252

KAILEY UTLEY (NPI# 1841813391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841813391
Entity Type Individual
Full Name KAILEY UTLEY
Practice Address 9040 Jackson Ave
Tacoma
WA 98431-0001
Mailing Address 11362 Burgess Ave
Bridgeton
MO 63044-3102
Practice Telephone 2539682252
Enumeration Date 2020-05-19
Last Update Date 2020-09-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 2020015887 MO Eye and Vision Services Providers

Office Location

Street Address 9040 JACKSON AVE
City TACOMA
State WA
Zip Code 98431-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356345185 John E Buonora Nurse Anesthetist, Certified Registered 9040 Jackson Ave, Tacoma, WA 98431-2025 2005-06-09
1629675251 Brian Rankin Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-10-06
1508473869 Allyssa Lynn Borak Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-09-30
1093322299 Jessica Granger Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-09-30
1134736481 Rebecca Reinhardt Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-09-29
1184238479 Mark Nash Physical Therapist 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-09-03
1679191969 Christopher A Land Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-07-13
1396362604 Valerie Kruger Genetic Counselor, MS 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-07-02
1255958724 Michael Wong Student in an Organized Health Care Education/Training Program 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-07-01
1164044160 Bridget Johnson Social Worker 9040 Jackson Ave, Tacoma, WA 98431-0001 2020-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497212260 Catrina Renee Grugin Registered Nurse Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 2019-02-27
1801307681 Bianca Gomez Dental Assistant Bldg 9900 Lincoln Street, Jblm, WA 98431 2017-10-19
1184133225 Darren Paris Registered Nurse Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 2017-09-20
1922538206 Sarah Frerichs Dentist Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 2017-06-19
1740736495 Misty Hill Dental Assistant 9119 Mill Park Ave, Tacoma, WA 98431 2016-08-31
1336695535 Jacqueline D Massouda Dentist Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 2016-08-28
1609239375 Gregg V Palmer Licensed Practical Nurse 17th and C Street, Bldg 11582, Tacoma, WA 98431 2016-03-31
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1679905434 Austin William Schaar Dentist Building 9900, 2nd Floor, Tacoma, WA 98431 2013-08-05
1518209758 Maurice Ibrahim Khayat Internal Medicine 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 2013-03-26
Find all providers in zip 98431

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407321508 Ryan Nghiem Ngo Optometrist 4826 Tacoma Mall Boulevard, Ste A, Tacoma, WA 98409-7108 2018-10-04
1508389032 Alina Pechko Optometrist 9600 Veterans Dr Sw Bldg 6, Tacoma, WA 98493 2017-07-17
1528511573 Angie Nguyen Pham Optometrist 2510 N Proctor St, Tacoma, WA 98406-5338 2016-07-26
1386096220 Brittney Melissa Gewolb Optometrist 5821 S Sprague Ct # 102, Tacoma, WA 98409-6903 2016-07-03
1457728479 Jessica Leah Scherer Optometrist 4826 Tacoma Mall Blvd, Tacoma, WA 98409-7108 2015-08-25
1831574730 Artika Naidu Optometrist 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 2015-07-22
1457664237 Candy Cristieen Arias Ceja Optometrist 5821 South Sprague Court, Tacoma, WA 98409 2010-07-21
1194906248 Tacoma Eyecare Center Inc Optometrist 9115 S Tacoma Way Ste 106, Tacoma, WA 98499-4400 2007-11-16
1326236100 Family Vision Center of Tacoma Optometrist 2514 N. Adams St., Tacoma, WA 98406 2007-10-05
1376730382 Pearl Eye Care Center, P.s. Optometrist 2505 S 38th St Ste A108, Tacoma, WA 98409-7372 2007-10-03
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Competitor

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City TACOMA
Zip Code 98431

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Dataset Information

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.

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