Alan H. Homestead OD PS

Primary specialty

OptometristTaxonomy code 152W00000X

License

1428 Issued in WA

Legal business name

ALAN H. HOMESTEAD OD PS

Practice address

10252 16TH Ave SW
Seattle, WA 98146-1432

Phone

(206) 767-4737

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Alan H Homestead

Title

President

Phone

(206) 767-4737

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1124143847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10252 16TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461432",
            "telephone_number": "206-767-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10252 16TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981461432",
            "telephone_number": "206-767-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN H. HOMESTEAD OD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "HOMESTEAD",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-767-4737"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030484",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariam Laura Alam, M.D.
• Shabana Mahabuba Alam, PHARM.D.
• Ava Alamdari, BMBS
• Ban Alamin, MD
• Alan E Moritis DDS PLLC
• Alan R. Breen, PHD, PLLC
• Temesgen Alanbo
• Muhsen Muneer Alani
• Hawwa Alao, MD
• Sanna Alas, MD

• All providers in Seattle, WA
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.