Individual provider Active NPI

Oswald Rondon, M.D.

  • Ophthalmology Physician
  • Kennewick, WA
National Provider Identifier
1285680769
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD61020777 Issued in WA
Practice address
6695 W Rio Grande Ave
Kennewick, WA 99336-3301
Phone
(509) 736-0826
Fax
(509) 735-6868
NPI assigned
May 26, 2006
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 42182 MT
Ophthalmology Physician 207W00000X MD61020777 WA Primary

Addresses

Primary practice location

6695 W Rio Grande Ave
Kennewick, WA 99336-3301

Mailing address

PO Box 1506
Chehalis, WA 98532-0409
Phone (360) 242-3008

Other identifiers 1

IdentifierTypeStateIssuer
2155441MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asc.pclikennewick.p1@direct.pcli.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WA, OR, ID, AK5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20160216002372 MT Practitioner - Ophthalmology 9638176118 Reassigns benefits to 1 organization
I20200204001997 WA Practitioner - Ophthalmology 9638176118 Reassigns benefits to 1 organization
I20200323001244 OR Practitioner - Ophthalmology 9638176118 Reassigns benefits to 1 organization
I20200323002303 ID Practitioner - Ophthalmology 9638176118 Reassigns benefits to 1 organization
I20210111001487 AK Practitioner - Ophthalmology 9638176118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Cataract and Laser Institute Inc PCGroup PAC ID 7517864119, shared by 15 NPIs, 75 clinicians

Practice addresses (Care Compare)

1331 NW Lovejoy St
Suite 750
Portland, OR 97209-2799
Phone (503) 535-2883

1621 Market Place Dr
Great Falls, MT 59404-3480
Phone (406) 454-2202

2822 S Vista Ave
Boise, ID 83705-4159
Phone (208) 385-7576

6695 W Rio Grande Ave
Kennewick, WA 99336-3301
Phone (509) 736-0826

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery2317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42182MTMDOphthalmology Physician
MD61020777WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Cataract and Laser Institute, Inc., P.C. Current Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. CurrentSince Feb 6, 2020 Accepting new patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Pacific Cataract and Laser Institute Inc PC CurrentSince Dec 22, 2025 Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Current Accepting new patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. CurrentSince Jan 15, 2020 Accepting new patients
Pacific Cataract and Laser Institute Inc PC CurrentSince Jan 15, 2020 Accepting new patients
Pacific Cataract and Laser Institute of Alaska Inc PC Ophthalmology CurrentSince Oct 7, 2020 Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Past Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. Past Accepting new patients

Locations

1600 A St
Ste 200
Anchorage, AK 99501
Phone (907) 272-2423

2822 S Vista Ave
Boise, ID 83705
Phone (208) 385-7576

3330 4th St
Lewiston, ID 83501
Phone (208) 746-2025

1621 Market Place Dr
Great Falls, MT 59404
Phone (406) 454-2202

1331 NW Lovejoy St
Ste 750
Portland, OR 97209
Phone (503) 535-2883

19801 SW 72nd Ave
Ste 150
Tualatin, OR 97062
Phone (503) 691-2283

2606 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 462-7664

4330 Mitchell Way
Bellingham, WA 98226
Phone (360) 736-6860

2517 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 748-8632

6695 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 736-0826

115 New View Ct NE
Olympia, WA 98506
Phone (360) 252-1642

9598 Mickelberry Rd NW
Silverdale, WA 98383
Phone (360) 698-5062

16818 E Desmet Ct
Spokane Valley, WA 99216
Phone (360) 242-3008

2915 S Alder St
Tacoma, WA 98409
Phone (253) 473-0275

3900 Kern Rd
Yakima, WA 98902
Phone (509) 966-1356

Interoperability endpoints

  • Direct secure messaging: oswald.rondon.p1@direct.pcli.nextgenshare.com
  • Direct secure messaging: asc.pclikennewick.p1@direct.pcli.nextgenshare.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1285680769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1506",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985320409",
            "telephone_number": "360-242-3008",
            "fax_number": "360-807-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 W RIO GRANDE AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363301",
            "telephone_number": "509-736-0826",
            "fax_number": "509-735-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDON",
        "first_name": "OSWALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MT",
            "license": "42182",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61020777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155441",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asc.pclikennewick.p1@direct.pcli.nextgenshare.com",
            "affiliation": "N",
            "address_1": "6695 W Rio Grande Ave",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993363301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.