Kitsap Eye Physicians PS

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

KITSAP EYE PHYSICIANS PS

Practice address

2655 Wheaton Way
Bremerton, WA 98310-3318

Phone

(360) 377-3703

Fax

(360) 377-9469

NPI assigned

May 22, 2007

Last updated

May 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenton N Sorensen, MD

Title

Owner

Phone

(360) 377-3703

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dale N Holdren MD Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kitsap Eye Physicians PS

  • Ophthalmology Physician
  • Bremerton, WA
  • NPI 1972712354

  O20040302000385

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Jason George Gagnon, OD

  • Optometrist
  • Bremerton, WA
  • NPI 1730268731
  Medicare reassignment Care Compare group NPD
• John Victor Hardaway, M.D.

  • Ophthalmology Physician
  • Bremerton, WA
  • NPI 1518930858
  Medicare reassignment Care Compare group NPD
• Joy Colleen Schnoebelen, OD

  • Optometrist
  • Bremerton, WA
  • NPI 1730054586
  Medicare reassignment Care Compare group NPD
• Debra M Sorensen, OD

  • Optometrist
  • Bremerton, WA
  • NPI 1245409036
  Medicare reassignment Care Compare group NPD
• Kenton Scott Sorensen, MD

  • Ophthalmology Physician
  • Bremerton, WA
  • NPI 1467531459
  Medicare reassignment Care Compare group NPD
• Hui N/a Zhao, MD, PHD

  • Ophthalmology Physician
  • Shelton, WA
  • NPI 1154842979
  Medicare reassignment Care Compare group NPD
• Preston Sullivan, MD

  • Ophthalmology Physician
  • Gig Harbor, WA
  • NPI 1275696056
  Medicare reassignment NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1174732556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103318",
            "telephone_number": "360-377-3703",
            "fax_number": "360-377-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103318",
            "telephone_number": "360-377-3703",
            "fax_number": "360-377-9469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 Pottery Avenue",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "98366",
            "country_code": "US",
            "telephone_number": "360-895-0847",
            "fax_number": "360-876-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KITSAP EYE PHYSICIANS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "KENTON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-377-3703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7071863",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dale N Holdren MD Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kitsap Clinic of Natural Medicine Inc
• Kitsap Colorectal Surgery Inc PS
• Kitsap Community Resources
• Kitsap County (Kitsap Recovery Center)
• Kitsap County Drug Court Alumni Association
• Kitsap Eye Physicians PS
• Kitsap Forensic Examiners PLLC
• Kitsap Homes of Compassion
• Kitsap Internal Medicine Associates, Inc, P.S.
• Kitsap Massage Therapy (KMT)

• Ophthalmology Physician in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.