Active NPI
Claude Kenneth Depew, O.D.
- Optometrist
- Kennewick, WA
National Provider Identifier
1154371037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00001355
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD00001355 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Crest Eye Care Inc PS | Optometrist | Current | Accepting new patients |
| Lower Valley Eye Care Inc. | Optometrist | Past | 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.
-
- Optometrist
- Kennewick, WA
- NPI 1932308012
-
- Optometrist
- Sunnyside, WA
- NPI 1306045497
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.