Active NPI
Katherine L. Wendt, O.D.
- Optometrist
- Tacoma, WA
National Provider Identifier
1285801027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1942
- Practice address
- 1901 S Union Ave
Suite 250
Tacoma, WA 98405-1702 - Phone
- (253) 756-6495
- NPI assigned
- May 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1942 | WA | Primary |
| Optometrist | 152W00000X | 9460 | CA | |
| Optometrist | 152W00000X | 1380 | NC |
Addresses
Primary practice location
1901 S Union Ave
Suite 250
Tacoma, WA 98405-1702
Mailing address
1901 S Union Ave
Suite 250
Tacoma, WA 98405-1702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1380 | NC | MD | Optometrist |
| 1942 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1285801027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S UNION AVE",
"address_2": "SUITE 250",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S UNION AVE",
"address_2": "SUITE 250",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051702",
"telephone_number": "253-756-6495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENDT",
"first_name": "KATHERINE",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "1942",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9460",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1380",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.