Irene Koval, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00004157 Issued in WA

Practice address

16528 Cleveland St
Suite 1
Redmond, WA 98052-4460

Phone

(425) 885-1974

Fax

(425) 882-7818

NPI assigned

Jul 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redmond Vision Clinic, PLLCGroup PAC ID 0143470963, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Redmond Vision Clinic, PLLC

  • Optometrist
  • Redmond, WA
  • NPI 1477801264
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1295934362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16528 CLEVELAND ST",
            "address_2": "SUITE 1",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524460",
            "telephone_number": "425-885-1974",
            "fax_number": "425-882-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16528 CLEVELAND ST",
            "address_2": "SUITE 1",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524460",
            "telephone_number": "425-885-1974",
            "fax_number": "425-882-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAL",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00004157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiderio Rocco Koren
• Ksenia Kosobutsky, LMFTA
• Amanda Koss, RD
• Natalie Kostecka
• Meera Kothari
• Ellie Adriana Kow, DNP
• Marcia G. Kramer, P.A.
• Louis Francis Kramp, DMD
• Laurie Krause, PHARMACIST
• Michael Krebs, DO

• Optometrist in Redmond, WA
• Providers in Redmond, 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, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.