William D Pentecost, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60017743 Issued in WA

Practice address

1317 E Pine St
Seattle, WA 98122-4021

Phone

(206) 420-8328

Fax

(206) 466-5356

NPI assigned

Jun 23, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Blink Optical LLC

  • Optometrist
  • Seattle, WA
  • NPI 1205198496
  NPD (past)
• Darran Kim O.D. PLLC

  • Optometrist
  • Everett, WA
  • NPI 1033891304
  NPD (past)
• J & J Optometric Services

  • Optometrist
  • Port Orchard, WA
  • NPI 1477837250
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1255592143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 E PINE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224021",
            "telephone_number": "206-420-8328",
            "fax_number": "206-420-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 E PINE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224021",
            "telephone_number": "206-420-8328",
            "fax_number": "206-466-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTECOST",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60017743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2042910",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Lynn Penney, BS, BCABA
• Kathryn Patricia Pennington, M.D.
• Matthew William Pennington, MD, PHD
• Samuel Pennoyer, RN
• Penny Leong DMD PLLC
• Kimberly Zoe Pentel, PH.D.
• Pamela L Pentin, M.D.
• Hilary Jean Pentz, DPT
• Anita Fanjul Penuelas, M.D.
• Neil A Penwell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.