Individual provider Active NPI

Tapuwa Chikwinya

  • Optometrist
  • Federal Way, WA
National Provider Identifier
1063909935
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011226 Issued in IL
Practice address
301 S 320TH St
Federal Way, WA 98003-5200
Phone
(253) 874-7958
NPI assigned
Apr 17, 2018
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011226 IL Primary

Addresses

Primary practice location

301 S 320TH St
Federal Way, WA 98003-5200

Mailing address

301 S 320TH St
Federal Way, WA 98003-5200
Phone (253) 874-7958

Other practice location 1

3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 949-7751

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180827000455 IL Practitioner - Optometry 7911256870 Reassigns benefits to 1 organization
I20191022002603 WA Practitioner - Optometry 7911256870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brent Chin OD Inc PSGroup PAC ID 7214030097, 3 clinicians

Practice addresses (Care Compare)

32717 1St Ave S
Suite 6
Federal Way, WA 98003-5758
Phone (253) 838-5428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011226ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brent Chin OD Inc PS Optometrist CurrentSince Oct 2, 2025 Accepting new patients
Tapuwa L. Chikwinya, PLLC Optometrist Current Accepting new patients
Illinois College of Optometry Optometrist CurrentSince Aug 6, 2018 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Sep 3, 2019 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Sep 3, 2019 Accepting new patients
Benson Vision Source, Inc. Optometrist CurrentSince Nov 13, 2020 Accepting new patients
Pacific Coast Eyecare P.S. Optometrist CurrentSince Apr 6, 2022 Accepting new patients
Federal Way Vision Center Optometrist PastSince Oct 2, 2025 Accepting new patients

Locations

3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200

301 S 320th St
Federal Way, WA 98003
Phone (253) 874-7000

32717 1st Ave S
Ste 6
Federal Way, WA 98003
Phone (253) 838-5428

25022 104th Ave SE
Ste D
Kent, WA 98030
Phone (253) 859-1911

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

2661 N Pearl St
Tacoma, WA 98407
Phone (253) 237-4248

6004 Westgate Blvd
Ste 180
Tacoma, WA 98406
Phone (253) 220-2563

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1063909935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 320TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035200",
            "telephone_number": "253-874-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 320TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035200",
            "telephone_number": "253-874-7958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3241 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60616",
            "country_code": "US",
            "telephone_number": "312-949-7751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIKWINYA",
        "first_name": "TAPUWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "301 S 320th St",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980035200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.