Kent G Leavitt MD PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00028489 Issued in WA

Legal business name

KENT G LEAVITT MD PLLC

Practice address

1135 116TH Ave NE Ste 450
Bellevue, WA 98004-4623

Phone

(425) 450-6990

Fax

(425) 450-8807

NPI assigned

Sep 20, 2007

Last updated

Mar 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kent G Leavitt, MDNPI 1528062320

Title

Member

Phone

(425) 450-6990

Specialties & licenses 2

Addresses

Locations

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.

• Kent G Leavitt, MD

  • Ophthalmology Physician
  • Bellevue, WA
  • NPI 1528062320
  Authorized official Same address or phone

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1073709325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE STE 450",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044623",
            "telephone_number": "425-450-6990",
            "fax_number": "425-450-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE STE 450",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044623",
            "telephone_number": "425-450-6990",
            "fax_number": "425-450-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT G LEAVITT MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-450-6990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "00003925",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00028489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Kennedy
• Kate Ellen Kennedy
• Kenneth L P Morton MD PC
• Kenneth R King MD PS
• Richard S. Kenny, O.D.
• Gerald G. Kent, M.D.
• Sadie Kent
• Stephanie Kent, L.M.P.
• Monique Serina Keo
• Amanda Day Keogh

• Ophthalmology Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.