NPIMap

Organization Active NPI

KJ Vision PLLC

Doing business as Evergreen Eyecare

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1073418059
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KJ VISION PLLC
Doing business as
Evergreen Eyecare
Practice address
1303 Cornwall Ave
Bellingham, WA 98225-4716
Phone
(425) 308-2929
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Authorized official

Name
Dr. Jared Rahn, ODNPI 1740911569
Title
Optometrist/Owner
Phone
(425) 308-2929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1303 Cornwall Ave
Bellingham, WA 98225-4716

Mailing address

1303 Cornwall Ave
Bellingham, WA 98225-4716
Phone (425) 308-2929

Other names 1

  • Evergreen Eyecare Doing business as

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791590400000",
    "number": "1073418059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254716",
            "telephone_number": "425-308-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254716",
            "telephone_number": "425-308-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJ VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A",
        "authorized_official_last_name": "RAHN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "425-308-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.