Sean Thoreby, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60570238 Issued in WA

Practice address

10002 SE 240TH St
Kent, WA 98031-4839

Phone

(253) 852-2020

Fax

(253) 854-2020

NPI assigned

Oct 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aeg Washington Professional PC

  • Optometrist
  • Bellevue, WA
  • NPI 1134835176
  Medicare reassignment Care Compare group NPD
• Clear Sight Northwest, PS

  • Optometrist
  • Kent, WA
  • NPI 1740558642
  Medicare reassignment NPD
• Kosnoski Eye Care Inc

  • Optometrist
  • Kent, WA
  • NPI 1003995747
  Medicare reassignment NPD
• Dr. Sam Hsu & Associates, P.S

  • Optometrist
  • Redmond, WA
  • NPI 1629395157
  NPD (past)
• Eyecare Center LLC

  • Optometrist
  • Bellevue, WA
  • NPI 1518953058
  NPD (past)
• Pacific Vision Services, PLLC

  • Optometrist
  • Bellevue, WA
  • NPI 1871944587
  NPD (past)

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1164776282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10002 SE 240TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980314839",
            "telephone_number": "253-852-2020",
            "fax_number": "253-854-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10002 SE 240TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980314839",
            "telephone_number": "253-852-2020",
            "fax_number": "253-854-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOREBY",
        "first_name": "SEAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60570238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8944042",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Thompson, PT
• Sara Thompson
• Tiffany Thompson
• Tracie L Thomson, LMP
• Carmen Ly Thong
• Michelle Thorin
• Sophia Thornton
• Thrifty Payless Inc
• Thrifty Payless Inc
• Thrifty Payless Inc

• Optometrist in Kent, WA
• Providers in Kent, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.