Individual provider Active NPI

Claude Kenneth Depew, O.D.

  • Optometrist
  • Kennewick, WA
National Provider Identifier
1154371037
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD00001355 Issued in WA
Practice address
7301 W Deschutes Ave
Suite B
Kennewick, WA 99336-7799
Phone
(509) 735-2020
Fax
(509) 783-2135
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD00001355 WA Primary
Corneal and Contact Management Optometrist 152WC0802X OD00001355 WA

Addresses

Primary practice location

7301 W Deschutes Ave
Suite B
Kennewick, WA 99336-7799

Mailing address

7301 W Deschutes Ave
Suite B
Kennewick, WA 99336-7799
Phone (509) 735-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040702001122 WA Practitioner - Optometry 5991782229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD00001355WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Crest Eye Care Inc PS Optometrist CurrentSince Jul 1, 2004 Accepting new patients
Lower Valley Eye Care Inc. Optometrist PastSince Jul 2, 2004 Accepting new patients

Locations

7301 W Deschutes Ave
Ste B
Kennewick, WA 99336
Phone (509) 735-2020

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1154371037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 W DESCHUTES AVE",
            "address_2": "SUITE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367799",
            "telephone_number": "509-735-2020",
            "fax_number": "509-783-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W DESCHUTES AVE",
            "address_2": "SUITE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367799",
            "telephone_number": "509-735-2020",
            "fax_number": "509-783-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPEW",
        "first_name": "CLAUDE",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001355",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "OD00001355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.