NPIMap

Organization Active NPI

Alan H. Homestead OD PS

  • Optometrist
  • Seattle, WA
National Provider Identifier
1124143847
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Alan H HomesteadNPI 1326190091
Title
President
Phone
(206) 767-4737

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1428 WA Primary

Addresses

Primary practice location

10252 16TH Ave SW
Seattle, WA 98146-1432

Mailing address

10252 16TH Ave SW
Seattle, WA 98146-1432
Phone (206) 767-4737

National Provider Directory

National Provider Directory

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • 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.