NPIMap

Organization Active NPI

William Pentecost, OD, PLLC

Doing business as Eye Eye

  • Optometrist
  • Seattle, WA
National Provider Identifier
1285023713
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60017743 Issued in WA
Legal business name
WILLIAM PENTECOST, OD, PLLC
Doing business as
Eye Eye
Practice address
4854 Rainier Ave S
Seattle, WA 98118-1742
Phone
(206) 619-2084
NPI assigned
Jan 21, 2015
Last updated
Jul 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
William PentecostNPI 1255592143
Title
Owner
Phone
(206) 619-2084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD60017743 WA Primary

Addresses

Primary practice location

4854 Rainier Ave S
Seattle, WA 98118-1742

Mailing address

1317 E Pine St
Seattle, WA 98122-4021
Phone (206) 420-8328

Other names 1

  • EYE EYE Doing business as

National Provider Directory

National Provider Directory

Locations

121 Lakeside Ave
Ste C
Seattle, WA 98122

1317 E Pine St
Seattle, WA 98122
Phone (206) 420-8328

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1285023713",
    "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": "4854 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181742",
            "telephone_number": "206-619-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM PENTECOST, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "PENTECOST",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-619-2084"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60017743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE EYE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.