Active NPI
James E Kintner, O.D.
- Optometrist
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00002049
- Practice address
- 3700 W Clearwater Ave
Kennewick, WA 99336 - Phone
- (509) 735-1312
- Fax
- (506) 736-6403
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00002049 | WA | Primary |
Addresses
Primary practice location
3700 W Clearwater Ave
Kennewick, WA 99336
Mailing address
3700 W Clearwater Ave
Kennewick, WA 99336-2636
Phone (509) 735-1312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2022150 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 W Clearwater Ave
Kennewick, WA 99336-2636
Phone (509) 735-1312
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD00002049 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Visionary Eyecare PLLC | Optometrist | Current | Accepting new patients |
| Washington Visionary Eyecare PLLC | Optometrist | Current | Accepting new patients |
| Kaiser Foundation Health Plan of Washington | Past | Accepting new patients |
Locations
5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020
3700 W Clearwater Ave
Kennewick, WA 99336
Phone (509) 735-1312
11700 Mukilteo Speedway
Ste 501
Mukilteo, WA 98275
Phone (425) 315-8300
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Mukilteo, WA
- NPI 1629671599
-
- Optometrist
- Kennewick, WA
- NPI 1588237945
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1043366610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362636",
"telephone_number": "509-735-1312",
"fax_number": "506-736-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "99336",
"telephone_number": "509-735-1312",
"fax_number": "506-736-6403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINTNER",
"first_name": "JAMES",
"middle_name": "E",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00002049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2022150",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.